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Home › NC › Highlands › Highlands Community Child Development Center
89 Church Street, Highlands NC 28741 · License #56000112 · Child Care Center
Not published by the state. Owners can add hours via profile claim.
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10A NCAC 09 .0803 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0514 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0701 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0803 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1102 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .1703 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .3222 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
NC GS 110-90 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: BRIDGET OWEN Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 4 Total Minutes: 276 Time In: 09:24 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Bridget Owen, Child Care Consultant and also signed by Demitra Passmore, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site to you. Today, Ms. Passmore accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of 06/08/2026 The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Highlands Community Child Development Center is current/active as of 06/08/2026 Permit type – Four Star Rated License, issued 7/24/2025 Special Services/Restrictions – Daytime care; meets enhanced space; meets reduced ratios. The last annual compliance visit was conducted on 07/08/2025 The last fire drill was practiced on 5/4/2026 The last shelter-in-place drill was practiced on 5/7/2026 The last playground inspection was documented on 6/5/2026 The last fire inspection was approved on 12/17/2025 The last sanitation inspection was conducted on 08/06/2025 with seven (7) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum Funnydaffer Early Childhood Curriculum Approved formative assessment Funnydaffer Formative Assessment Lead water testing was completed on 07/19/2024 hazards. Lead paint and asbestos testing has not been completed as of 06/8/2026. Incident Log current with last entry 6/19/2026 No Prescription Medications were on-site during today’s visit. Walkthrough Observations I observed Space #1 with two (2) teachers and eleven (11) children between two (2) and three (3) years of age, transitioning to the outdoor learning environment. Teacher-child interactions were positive, and supervision was adequate. I observed Space #2 with one (1) teacher and five (5) children two (2) years of age, engaged in free play centers. Teacher-child interactions were positive, and supervision was adequate. I observed Space #3 with two (2) teachers and fourteen (14) children between three (3) and four (4) years of age, engaged in free play activities. Activities included, but were not limited to, the water table, sand table, arts and crafts, blocks, and science. Teacher-child interactions were positive, and supervision was adequate. I observed Space #4 with two (2) teachers and six (6) children one year of age, engaged in free play and diapering routines. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7A with two (2) teachers and four (4) children engaged in free play activities. Children were able to move freely throughout the room and select activities independently. Teacher-child interactions were positive, and supervision was adequate. I observed Space #7B with two (2) teachers and seven (7) children zero to one year of age, engaged in free play activities. Teacher-child interactions were positive, and supervision was adequate. Lunch was observed and reflected today’s menu of Teriyaki grilled chicken, lima beans, pineapple tidbits, whole grain roll, and milk. Naptime observation lighting was adequate and teacher interaction great, soft music or sound music playing in the background. 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 721 All equipment and furnishings were not in good repair. Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. G.S. 110-91(6); .0601(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. 10A NCAC 09 .0803(4)(6-9) 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. Diaper cream for C. V. in Space #7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, A. Roca, did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. One staff member, A. Davis, did not have documentation of a signed job description, personnel and operational policies on file for review. 10A NCAC 09 .0514(g) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. .0607(f) 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. One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. .1103(b) Technical assistance was provided as follows: Medication Authorization Item #0846 No parent authorization form was available for review for L. J in Space 1 for Multipurpose Healing Ointment. To achieve compliance, the parent or guardian must complete and sign a medication authorization form prior to the administration of any medication. Medication Forms Item #0847 There were several diaper cream forms in Spaces 2, 4, and 7A & 7B that had been signed by the parent or guardian; however, the name of the diaper cream, amount to be applied, expiration date, instructions for application, and frequency of application were not completed. To achieve compliance, all medication authorization forms must be completed in their entirety prior to the administration of medication. Expired Medication Item #0849 Diaper cream for C. V. in Space 7A expired in 5/2026. This was corrected during the visit when the diaper cream was discarded. To achieve compliance, all medications and topical ointments must be monitored and removed or replaced prior to their expiration date. Equipment Not in Good Repair Item #0721 Four bikes on the preschool playground had cracked seats and mold on the handlebar covers. This item was corrected during the visit when the bikes were removed from the playground. To achieve compliance, all equipment must be maintained in good repair and removed from use when damaged or hazardous. Medical Item #1032 One staff member, A. Roca, did not have a medical report on file for review. To achieve compliance, a completed medical report must be obtained and maintained in the staff member's file. TB Item #1033 One staff member, A. Roca, did not have documentation of a tuberculosis screening on file for review. To achieve compliance, documentation of a TB screening must be obtained and maintained in the staff member's file. Orientation Item #1045 Four staff members (A. Davis, D. Williams, A. Roca, and G. Norris) did not have completed orientation documentation on file for review. To achieve compliance, all newly hired staff must complete orientation and documentation of the orientation must be maintained in their personnel files. Job Description Operational and Personnel Policy Item #1233 One staff member, A. Davis, did not have documentation of a signed job description, operational and personnel policy on file for review. To achieve compliance, all staff must review and sign their job description, operational and personnel policy and documentation must be maintained in their personnel files. EPR Item #1825 One staff member, A. Davis, did not have documentation of reviewing the Emergency Preparedness and Response (EPR) plan on file for review. To achieve compliance, all staff must review the facility's Emergency Preparedness and Response plan and documentation of the review must be maintained in their personnel files. Health and Safety Trainings Item #1899 One staff member did not complete all required health and safety trainings within the required five-year timeframe and was missing Administration of Medication, Emergency Preparedness and Response Planning for Emergencies Resulting from Natural or Man-Caused Events, and Prevention of Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment. To achieve compliance, all staff must complete and maintain current required health and safety trainings and documentation must be maintained in their personnel files. 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 06/24/2026 Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: bridget.owen@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Bridget Owen Po Box 114 Rosman NC 28772 Please call me at 828-530-2424 or email bridget.owen@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that Patt Hedden transition to Founder Director January 2, 2026, until retirement. Demitra Passmore took Patt Hedden position of Administrator for Highlands Community Child Development Center effective January 2, 2026. Preservice Requirements for Administrator of a Child Care Center and Legal Designee documentation have been completed and review by consultant. We discussed that the topical medication authorization form must be completed in its entirety, including the specific amount to be applied (e.g., dime-sized, quarter-sized, or half-dollar-sized amount). Each topical medication must have a separate authorization form completed and signed by the parent or guardian. Parents or guardians should only sign authorization forms for the specific topical medication provided for their child. We discussed the orientation form if for the administrator and the new employee to discuss the topics and how they relate to this facility/program. This forms needs to be completed within the first six weeks 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 bridget.owen@dhhs.nc.gov or 828-530-2424 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0304 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0605 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1101 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1102 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .1703 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .2830 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
NC GS 110-90 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: DAWN MCCRARY Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 43 Completed Date: 7/8/2025 Age: From 0 To 3 Total Minutes: 400 Time In: 09:50 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Dawn McCrary, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Today, Pat Hedden, Administrator, 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of 7/7/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Highlands Community Child Development Center, is current/active as of 7/7/2025. Permit type – Four Star Child Care License; issued 7/8/2019, earning 4 points in staff education; 7 program standard points; and 1 quality point. Special Services/Restrictions – Meets reduced ratios; meets enhanced space. The last annual compliance visit was conducted on 7/19/2024. The last fire drill was practiced on 6/25/25. The last lockdown drill was practiced on 6/10/25. The last playground inspection was documented on The last fire inspection was approved on 12/10/24. The last sanitation inspection was conducted on 12/20/24 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Lead water testing was completed on 7/19/2024 without hazards. Lead paint and asbestos testing status is: Survey Review by RTI; with no hazards identified. The program does not provide transportation. Upon arrival, I made my presence known to Pat Hedden, Administrator. The children in the infant classroom were sleeping. The children in the infant and one-year-old classroom were interacting on the floor with their caregivers. The children in the one-year-old classroom were eating lunch. The children in the one and two-year-old classroom were having free choice play outdoors and looking at books indoors. The children in the two and three-year-old classroom were having free choice play in the classroom. The children in the three-year-old classroom were having free choice play on the playground. The playgrounds offer adequate space for vigorous play with riding toys, push/pull toys, climbing, balancing, dramatic play, sand, water and ball play. The lunch served today was chicken patty sandwiches, peaches, potato tots and milk. The lunch matched the posted menu which had been updated before meal service to show a substitution. All interactions were positive and nurturing. Supervision was adequate. There are four (4) new staff and eighteen (18) existing staff. The newly hired staff files and two (2) existing staff files were monitored for child care requirements. There are fifty-four (54) children enrolled. Five (5) child files were monitored for child care requirements. An ERS-R assessment was conducted at the facility on 1/25/24. The average score for the ECERS-R conducted on 1/25/2024 is 5.69 points. An ITERS-R assessment was conducted at the facility on 1/18/24.The average score for the ITERS-R conducted on 1/18/2024 is 5.52 points. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. Ms. Hedden was given the opportunity to give explanation/response/comments to the assessor’s observations. These items are noted below: ECERS-R assessment 1/25/2024 (Staffelbach, Zoe; Owens, Jeanna; Mace, Lisa) Item 7; indicator 3.2 Score: 2 points Outdoors, it was reported that this group uses the playground with the red arched climber. The climber was placed 5 feet to the containment border, rather than at least 6 feet. Please refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observation today: The red arched climber was over 6 feet from the containment border. Item 8; indicator 3.1 Score: 2 points On the day of the observation it rained, and children used the covered toddler playground where they could use cozy coupes, riding toys, tricycles, and balls for 18-20 minutes. Based on the teacher's report, there are no other times when children play outdoors. The required equipment was not observed to be provided indoors. The total amount of time children could use the equipment required by this indicator was 18-20 minutes, rather than at least 1 hour each day. Further, it was reported that on days when children do not play outside due to the weather, they use hula hoops, a balance beam, stepping stones, and play hopscotch for 20 minutes. It was further reported that they play games and dance; however, these activities do not involve the type of equipment required by this indicator. Observation today: Today the children were playing on the outdoor playgrounds. They were observed running, balancing, climbing, riding toys, having ball play, dramatic play, sand play and participating in a child organized frisbee game. The children received one hour of outdoor gross motor play. Item 14; indicator 3.1 Score: 2 points Indoors, there were small items that included rocks, counting bears, and dinosaurs. These small items are considered a choking hazard for the 2-year-old children enrolled. Also, the safety concern mentioned in item 7 applies here as well. Observation today: All items available to the two-year-old children were adequate size and not a choking hazard. ITERS-R assessment 1/18/2024 (Sprinkle James, Rachel; Fountain, Lydia; Hardy, Destiny) Item 6; indicator 3.3 Score: 2 points During the observation, two children arrived to the classroom. Although one parent entered the classroom the other child was brought to the classroom by a staff member. The parent did not enter the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Ms. Hedden explained that the reason the staff member brought the child to the classroom was due to the child having an incident in which they hit their head upon entering the facility. The assistant director took the child so the parent could leave, waited for the child to calm down, and then took the child to the classroom. An incident report was completed. No medical attention was required. Item 6; indicator 3.4 Score: 2 points Information about the child's health or safety was not shared during the observed arrival in the classroom. Observation today: No children were observed arriving to the classroom during today’s visit. Item 9; indicator 3.3 Score: 2 points The children's hands were washed consistently after diapering and toileting routines; however, the teachers washed their hands 72% of the times needed, which was less than the 75% required. Of the 18 times that teachers changed children's diapers, pull-ups or assisted children with toileting routines, the teachers washed their hands 13 times following these routines. Although there were times when a teacher wore gloves to assist several children in the bathroom, the gloves were not removed and the teacher's hands were not washed between children. Observation today: I observed routine care in the classroom. The teachers washed hands one hundred (100) percent of the times that they changed diapers or assisted a child with toileting. Item 17; indicator 3.2 Score: 2 points The concern with the small pieces of chalk mentioned in item 11 apply here as well. Observation today: No small pieces of chalk or other choking hazards were observed today. The Administrator has the NCECC and Administrator level I with thirty-seven (37) years experience, earning four (4) points. The facility has one (1) lead teacher with an Associate Degree in Early Childhood Education with six (6) years experience, and two (2) lead teachers with NCECC plus three (3) semester hours with five (5) and eighteen (18) years experience and one (1) lead teacher with NCECC plus nine (9) semester hours, and three (3) years experience earning four (4) Lead Teacher education points. Fifty (50) percent of Teachers have NCECC earning four (4) Teacher education points. The facility earns four (4) education points. Program Standards: The facility meets enhanced requirements and reduced ratios with a total average ITERS/ECERS score of 5.61, earning seven (7) program standards points. The facility earns seven (7) program standard points. Quality Point: Programmatic Option: A quality point is earned based on Meeting the following: Staff Benefits Package (having a staff benefits package that offers at least four of the following benefits: paid leave for professional development, paid planning time, vacation, sick time, retirement, or health insurance Infrastructure of Parent Involvement (at least two of the following: Quarterly newsletter, parent advisory board, periodic conferences for all children, or quarterly parent meetings. Quality Point = 1 point The facility earns one (1) quality point. Total: 7+ 4+ 1= 12 points = Four (4) Star Child Care License. Upon final review, the points may change, affecting the star rating. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for June 2025. .0605(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS A lockdown drill was practiced 2/25/25. The next lockdown or shelter-in-place drill was practiced 6/10/25. This does not meet the every three month requirement. 859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS A playground inspection was not conducted for June 2025. 1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS One staff, hired on 6/24/25, per the staff and training worksheet, does not have the six hours of orientation on file to meet the two-week requirement. 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 7/22/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: dawn.mccrary@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Dawn McCrary PO Box 397 Penrose, NC 28766 Please call me at 828-556-3088, or email dawn.mccrary@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at dawn.mccrary@dhhs.nc.gov or 828-556-3088, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0304 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0601 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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
G.S. 110-91 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/19/2024 Number Present: 46 Completed Date: 7/19/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 10:35 AM Time Out: 03:35 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 signed Pat Hedden, Administrator. A signed copy of the visit summary was left on-site for you today. Today, Pat Hedden, Administrator, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was Ninety-Seven (97) percentage as of 7/18/24. Permit type – Four Star Child Care Center 7/8/19. Special Services/Restrictions – Daytime care only; Meets Enhanced space; Meets reduced ratios. The last annual compliance visit was conducted on 7/27/23. The last fire drill was practiced on 6/13/24. The last shelter-in-place drill was practiced on 5/7/24. The last playground inspection was documented on 6/18/24. The last fire inspection was approved on 2/22/24. The last sanitation inspection was conducted on 5/23/24 with seven (7) 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. The Infants in space 7a were playing on the floor with their teachers. Teachers were engaged and interacting with children on floor and in upright bouncer. The children in space three(3) were learning about sharks and listening to a book on shark facts. Teachers were sitting at the table in the lunch room with the one year old children and were engaged with each child. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ . The following violations were documented during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. Space two (2) had a poisonous plant that was cascading and hanging below five feet. .0604(l) Toxic Plants Item 0823 Toxic plants were accessible to children Note: Space two (2) had a poisonous plant that was cascading and hanging below five feet. This was corrected during the visit. Make sure that plants that are not safe for children are always above five feet and not hanging below. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Safe Environment. Equipment not in good repair Item 0721-All equipment and furnishings were not in good repair. Note: The large tree play structure on playground one (1) was covered in mold and the climbing structure on playground two (2) also was covered in mold and dirt. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Corrective Action Plan: 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 8/2/24. 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 172 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 your plans for the new QRIS roll out. We discussed Pats now does not come in on Wednesdays. We discussed you will keep me updated on any closures or special events at your center. 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 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 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 48 Completed Date: 1/31/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Four-Star License. Demetria Passmore, Assistant Direct and Lisa Mace, Administrative Assistant, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 7/27/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children in space one (1) playing on the floor with their teachers with toys and books. In space four (4) children were observed washing hands and then moving to circle to read books and have circle time. Space three (3) was observed on the playground with their teachers running and riding bikes. There was one new staff member since the facility had their Annual Compliance on 7/27/23. Their staff file was reviewed today. The last fire drill was practiced 1/11/24. The last shelter-in-place drill/lockdown drill was practiced on 11/14/23. The last fire inspection was approved 1/5/23. The last sanitation inspection was completed on 10/4/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: 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 had expired as of 1/5/23. 10A NCAC 09 .0304(a) 823 Toxic plants were accessible to children. The Space containing two and three-year old children had a poisonous plant within reach of children. The plant was removed and corrected during the visit. .0604(l) Expired Fire drill Item 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. Note: The fire inspection had expired as of 1/5/23. According to 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 Toxic Plants Item 0823 Toxic plants were accessible to children. Note: The Space containing two and three-year old children had a poisonous plant within reach of children. The plant was removed and corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Consultation: We discussed that you have had your prep year assessment and when I receive your results I will call and we discuss can results. ECERS prep assessment and ITERS prep assessment was completed this month. We discussed you are waiting on the plumber to fix a leak in the sprinkler room so the Fire Marshall will approve Fire Inspection. 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.” 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 1/31/2024 Number Present: 48 Completed Date: 1/31/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Four-Star License. Demetria Passmore, Assistant Direct and Lisa Mace, Administrative Assistant, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 7/27/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children in space one (1) playing on the floor with their teachers with toys and books. In space four (4) children were observed washing hands and then moving to circle to read books and have circle time. Space three (3) was observed on the playground with their teachers running and riding bikes. There was one new staff member since the facility had their Annual Compliance on 7/27/23. Their staff file was reviewed today. The last fire drill was practiced 1/11/24. The last shelter-in-place drill/lockdown drill was practiced on 11/14/23. The last fire inspection was approved 1/5/23. The last sanitation inspection was completed on 10/4/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: 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 had expired as of 1/5/23. 10A NCAC 09 .0304(a) 823 Toxic plants were accessible to children. The Space containing two and three-year old children had a poisonous plant within reach of children. The plant was removed and corrected during the visit. .0604(l) Expired Fire drill Item 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. Note: The fire inspection had expired as of 1/5/23. According to 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 Toxic Plants Item 0823 Toxic plants were accessible to children. Note: The Space containing two and three-year old children had a poisonous plant within reach of children. The plant was removed and corrected during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. Consultation: We discussed that you have had your prep year assessment and when I receive your results I will call and we discuss can results. ECERS prep assessment and ITERS prep assessment was completed this month. We discussed you are waiting on the plumber to fix a leak in the sprinkler room so the Fire Marshall will approve Fire Inspection. 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.” 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 50 Completed Date: 7/27/2023 Age: From 0 To 4 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Pat Hedden, Administrator , 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 07/27/2023. Permit type – Four Star Special Services/Restrictions – Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted 1/10/23. The last fire drill was practiced on 6/15/23. The last shelter-in-place drill was practiced on 4/18/23. The last fire inspection was conducted on 1/5/23. The last sanitation inspection was conducted on 6/10/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. In the classroom with three and four-year old children I observed children playing in centers. Children were playing dress, blocks and art. Infants were observed engaged with teachers on the floor and in infant seats. The one-year old class was having gross motor time outside with teacher lead activites. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. .0604(q) Technical assistance was provided as follows: Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Consultation is provided as follows: We discussed rated licenses process. You will notify me if at any time you are ready to move forward before your cohort year. We discussed the waiting list and the rotation of rooms with children that turn four and five moving to your other licensed space where the two pre-school classes are located. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.mccrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: supervision. Open / not marked corrected.
10A NCAC 09 .0604 · Violation
Name of Operation: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 50 Completed Date: 7/27/2023 Age: From 0 To 4 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Pat Hedden, Administrator , 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 07/27/2023. Permit type – Four Star Special Services/Restrictions – Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted 1/10/23. The last fire drill was practiced on 6/15/23. The last shelter-in-place drill was practiced on 4/18/23. The last fire inspection was conducted on 1/5/23. The last sanitation inspection was conducted on 6/10/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. In the classroom with three and four-year old children I observed children playing in centers. Children were playing dress, blocks and art. Infants were observed engaged with teachers on the floor and in infant seats. The one-year old class was having gross motor time outside with teacher lead activites. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. .0604(q) Technical assistance was provided as follows: Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Consultation is provided as follows: We discussed rated licenses process. You will notify me if at any time you are ready to move forward before your cohort year. We discussed the waiting list and the rotation of rooms with children that turn four and five moving to your other licensed space where the two pre-school classes are located. 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 50 Completed Date: 7/27/2023 Age: From 0 To 4 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Pat Hedden, Administrator , 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 07/27/2023. Permit type – Four Star Special Services/Restrictions – Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted 1/10/23. The last fire drill was practiced on 6/15/23. The last shelter-in-place drill was practiced on 4/18/23. The last fire inspection was conducted on 1/5/23. The last sanitation inspection was conducted on 6/10/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. In the classroom with three and four-year old children I observed children playing in centers. Children were playing dress, blocks and art. Infants were observed engaged with teachers on the floor and in infant seats. The one-year old class was having gross motor time outside with teacher lead activites. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. .0604(q) Technical assistance was provided as follows: Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Consultation is provided as follows: We discussed rated licenses process. You will notify me if at any time you are ready to move forward before your cohort year. We discussed the waiting list and the rotation of rooms with children that turn four and five moving to your other licensed space where the two pre-school classes are located. 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 50 Completed Date: 7/27/2023 Age: From 0 To 4 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Pat Hedden, Administrator , 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 07/27/2023. Permit type – Four Star Special Services/Restrictions – Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted 1/10/23. The last fire drill was practiced on 6/15/23. The last shelter-in-place drill was practiced on 4/18/23. The last fire inspection was conducted on 1/5/23. The last sanitation inspection was conducted on 6/10/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. In the classroom with three and four-year old children I observed children playing in centers. Children were playing dress, blocks and art. Infants were observed engaged with teachers on the floor and in infant seats. The one-year old class was having gross motor time outside with teacher lead activites. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. .0604(q) Technical assistance was provided as follows: Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Consultation is provided as follows: We discussed rated licenses process. You will notify me if at any time you are ready to move forward before your cohort year. We discussed the waiting list and the rotation of rooms with children that turn four and five moving to your other licensed space where the two pre-school classes are located. 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: HIGHLANDS COMMUNITY CHILD DEVELOPMENT CENTER Facility ID: 56000112 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 50 Completed Date: 7/27/2023 Age: From 0 To 4 Total Minutes: 275 Time In: 10:10 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Pat Hedden, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, the Pat Hedden, Administrator , 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percentage as of 07/27/2023. Permit type – Four Star Special Services/Restrictions – Meets reduced ratios; Meets enhanced space. The last annual compliance visit was conducted 1/10/23. The last fire drill was practiced on 6/15/23. The last shelter-in-place drill was practiced on 4/18/23. The last fire inspection was conducted on 1/5/23. The last sanitation inspection was conducted on 6/10/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. In the classroom with three and four-year old children I observed children playing in centers. Children were playing dress, blocks and art. Infants were observed engaged with teachers on the floor and in infant seats. The one-year old class was having gross motor time outside with teacher lead activites. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. .0604(q) Technical assistance was provided as follows: Plastics Item 0858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Note: Plastics were stored below five feet in a bathroom used by children under the age of three. This was fixed during the visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Consultation is provided as follows: We discussed rated licenses process. You will notify me if at any time you are ready to move forward before your cohort year. We discussed the waiting list and the rotation of rooms with children that turn four and five moving to your other licensed space where the two pre-school classes are located. 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
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