Blythe Elementary Asep

10A NCAC 09 .0901 · Violation

Name of Operation: BLYTHE ELEMENTARY ASEP Facility ID: 60001397 Consultant: MICHELLE CUTHBERTSON Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 53 Completed Date: 10/8/2025 Age: From 4 To 11 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care rules and laws. This center has a five-star license and an 18-month compliance history of 89%. The NC child care law summary was prominently posted. I was greeted by A. Cooke, group leader. It was shared that S. Lawyer, site coordinator, would not be present for today’s visit. J. Tampa, program assistant arrived towards the end of my visit and also assisted with today's visit. I conducted a walkthrough of the facility. Staff/child ratio, Supervision, capacity, group size and space were observed in compliance today. Group 1 there were 18 children present with a group leader and assistant group leader. Group 2 there were 16 children present with a group leader. Group 3 there were 19 children present with a group leader. The center’s Emergency Drill Log and Report was reviewed. Fire drills were reviewed. Shelter in place and Lock down drills were monitored. Staff and Children’s DPI verification forms were monitored today. The children were observed participating in arrival, teacher directed activities, handwashing and snack. I used the staff and training worksheet to monitor staff files. There were 3 violations cited during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current snack menu was not posted. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member did not have an Emergency information form on file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A staff members qualification letter was not on file. T. Zanzoul was qualified on 2/24/2022. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: Ms. Lawyer was contacted by phone during visit. I shared with Ms. Lawyer that I would schedule a TA visit with her to discuss SACERS and afterschool requirements. The facility has a child 4 years of age but is a registered kindergarten student. For the latest updates, please visit the division’s website at ncchildcare.ncdhhs.gov and click on the What’s New tab. If you have questions or concerns, please feel free to contact me by email at Michelle.Cuthbertson@dhhs.nc.gov or by phone at 704-297-5431. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BLYTHE ELEMENTARY ASEP Facility ID: 60001397 Consultant: MICHELLE CUTHBERTSON Operation Type: Center Case Number: Visit Date: 10/8/2025 Number Present: 53 Completed Date: 10/8/2025 Age: From 4 To 11 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care rules and laws. This center has a five-star license and an 18-month compliance history of 89%. The NC child care law summary was prominently posted. I was greeted by A. Cooke, group leader. It was shared that S. Lawyer, site coordinator, would not be present for today’s visit. J. Tampa, program assistant arrived towards the end of my visit and also assisted with today's visit. I conducted a walkthrough of the facility. Staff/child ratio, Supervision, capacity, group size and space were observed in compliance today. Group 1 there were 18 children present with a group leader and assistant group leader. Group 2 there were 16 children present with a group leader. Group 3 there were 19 children present with a group leader. The center’s Emergency Drill Log and Report was reviewed. Fire drills were reviewed. Shelter in place and Lock down drills were monitored. Staff and Children’s DPI verification forms were monitored today. The children were observed participating in arrival, teacher directed activities, handwashing and snack. I used the staff and training worksheet to monitor staff files. There were 3 violations cited during today’s visit. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current snack menu was not posted. 10A NCAC 09 .0901(b) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member did not have an Emergency information form on file. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A staff members qualification letter was not on file. T. Zanzoul was qualified on 2/24/2022. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: Ms. Lawyer was contacted by phone during visit. I shared with Ms. Lawyer that I would schedule a TA visit with her to discuss SACERS and afterschool requirements. The facility has a child 4 years of age but is a registered kindergarten student. For the latest updates, please visit the division’s website at ncchildcare.ncdhhs.gov and click on the What’s New tab. If you have questions or concerns, please feel free to contact me by email at Michelle.Cuthbertson@dhhs.nc.gov or by phone at 704-297-5431. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BLYTHE ELEMENTARY ASEP Facility ID: 60001397 Consultant: MICHELLE CUTHBERTSON Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 31 Completed Date: 5/1/2025 Age: From 5 To 11 Total Minutes: 125 Time In: 02:10 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor applicable child care rules and laws. This center has a five star license and an 18 month compliance history score of 85%. The license and NC child care law summary was prominently posted. Upon arrival, I was greeted by M. Smalls, site coordinator. There are 3 school age groups. Group 1 there were 10 children present with a group leader. Group 2 there were 12 children present with a group leader. Group 3 there were 9 children present with a group leader. I observed the children participating in homework, teacher directed activities, snack and free play. The following items were monitored today: supervision, staff/child ratios, permit restrictions, license posted, approved space, storage of hazardous products, storage of medication, staff records and program records. There have been 2 new staff since my last visit. I monitored new staff files. The staff and training worksheets were reviewed to confirm existing staff were still current with CPR, First Aid, BSAC and criminal background qualifying letters. All DPI verification forms were monitored. An existing staff member criminal background letter expired on October 31, 2024. Ms. Harris has until May 15, 2025, to get a current background letter on file. If a current letter is not on file by May 15, 2025, Ms. Harris cannot report to work until a current letter is on file. The center’s Emergency Drill Log and Report was reviewed. Fire drills were documented monthly as required. Shelter-in-place and Lock-Down drills were documented quarterly as required. The playground safety inspections were reviewed. There was 1 violation cited during today’s visit. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A. Harris does not have a current background qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance: -I discussed the ABCMS Portal with the administrator. -Please complete a staff/ratio sheet for group 3. -Changes were made to the staff and training worksheet after provider signature. -Hold Harmless has been extended until the new QRIS is implemented (SB 425). -Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/services/DCDEE-WORKS. Have all staff update their education. For the latest updates, please visit the divisions website at ncchildcare.ncdhhs.gov and click on the What’s New tab. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/14/2025. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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: BLYTHE ELEMENTARY ASEP Facility ID: 60001397 Consultant: MICHELLE CUTHBERTSON Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 35 Completed Date: 10/10/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:10 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care rules and laws. This center has a five-star license and an 18-month compliance history of 93%. The NC child care law summary were prominently posted. I was greeted by M. Smalls, new site coordinator. I conducted a walkthrough of the facility. Staff/child ratio, Supervision, capacity, group size and space were observed in compliance today. Group 1 there were 20 children present with the site coordinator and group leader. Group 2 there were 15 children present with a group leader. The center’s Emergency Drill Log and Report was reviewed. Fire drills were reviewed. Shelter in place and Lock down drills were monitored. The playground safety inspections were reviewed. Reports were documented monthly as required. The center last had a sanitation inspection on 10/4/24. The center received 8 demerits and a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 5/8/24. Staff and Children’s DPI verification forms were monitored today. The outdoor area was monitored today. Outdoor diagrams were created and added to the facility’s file. The children were observed arriving and participating in arrival, homework, reading, handwashing, snack and free play. I used the staff and training worksheet to monitor staff files. There were 3 violations cited during today’s visit. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There were several electrical outlets not covered in the cafeteria. This was observed while the children were participating in snack. 10A NCAC 09 .0604(c) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's first aid training expired 05/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member's CPR expired 05/2024. .1102(d) Technical Assistance: The program is currently using the grassy area during outdoor play instead of the playground equipment due to low surfacing. The site coordinator stated that an order has been placed for mulch. Although they do not use the playground equipment, they still bring out materials to meet outdoor gross motor requirements. -Hold Harmless has been extended until the new QRIS is implemented (SB 425). -Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/services/DCDEE-WORKS. Have all staff update their education. For the latest updates, please visit the division’s website at ncchildcare.ncdhhs.gov and click on the What’s New tab. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 10/23/2024. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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: BLYTHE ELEMENTARY ASEP Facility ID: 60001397 Consultant: MICHELLE CUTHBERTSON Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 44 Completed Date: 4/24/2024 Age: From 5 To 11 Total Minutes: 135 Time In: 01:45 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit is to monitor applicable child care rules and laws. This center has a five star license and an 18 month compliance history score of 97%. The license and NC child care law summary was prominently posted. Upon arrival, I was greeted by T. Johnson, site coordinator. There were 44 children in attendance today divided into 3 groups. I observed the children participating in arrival, homework, teacher directed activities, handwashing and snack. The following items were monitored today: supervision, staff/child ratios, permit restrictions, license posted, approved space, storage of hazardous products, storage of medication, staff records and program records. There have been 1 new staff since my last visit. The staff and training worksheets were reviewed to confirm existing staff were still current with CPR, First Aid, BSAC and criminal background qualifying letters. All DPI verification forms were monitored. The center’s Emergency Drill Log and Report was reviewed. Fire drills were documented monthly as required. Shelter-in-place and Lock-Down drills were documented quarterly as required. The playground safety inspections were reviewed. Reports were documented monthly as required. There were 4 violations cited during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facilities file showed a fire inspection conducted on 4/10/23. The facility is past due for an annual fire inspection. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A substitute staff has not completed the first aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A substitute staff has not completed the CPR training within 90 days of employment. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A substitute staff has not completed the training within 90 days of employment. .1102(g) Technical assistance: For the latest updates, please visit the divisions website at ncchildcare.ncdhhs.gov and click on the What’s New tab. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 5/7/2024. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BLYTHE ELEMENTARY ASEP Facility ID: 60001397 Consultant: MICHELLE CUTHBERTSON Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 48 Completed Date: 10/16/2023 Age: From 5 To 10 Total Minutes: 170 Time In: 01:40 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care rules and laws. This center has a five-star license and an 18-month compliance history of 96%. The NC child care law summary were prominently posted. I was greeted by K. Lacey, group leader. At this time, the program does not have a site coordinator. During the visit, J. Tampa program assistant arrived at the facility to assist with the visit. After monitoring staff files and arriving in the media center. I observed Sarah Allen, a substitute staff member working with a group of children. I observed no qualification letter on file for Sarah Allen. I looked in our database and there is no criminal background check for Sarah Allen. Ms. Tampa shared with Ms. Allen that she would need to leave for the day and could not return until she completes a criminal background check and have a qualification letter on file. I conducted a walkthrough of the facility. Staff/child ratio, Supervision, capacity, group size and space were observed in compliance today. Group 1 there were 14 children present with a group leader. Group 2 there were 18 children present with a group leader and substitute staff. Group 3 there were 16 children present with a group leader. The center’s Emergency Drill Log and Report was reviewed. Fire drills were reviewed. Shelter in place and Lock down drills were monitored. The playground safety inspections were reviewed. Reports were documented monthly as required. The center last had a sanitation inspection on 1/5/23. The center received 3 demerits and a superior classification. The inspection was completed by the Mecklenburg County Health Department. The center last had a fire inspection on 4/10/23. Staff and Children’s DPI verification forms were monitored today. The outdoor area was monitored today. The children were observed participating in arrival, handwashing and snack. I used the staff and training worksheet to monitor staff files. There were 2 violations cited today. Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Sarah Allen did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. There was no valid qualification letter on file for Sarah Allen. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: For the latest updates, please visit the divisions website at ncchildcare.ncdhhs.gov and click on the What’s New tab. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed and dated statement to me at the email address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation using the item listing in your visit summary, you must state how each violation was corrected and are now in compliance. 5. Your signature For your convenience, your letter may be sent by email to: Michelle.Cuthbertson@dhhs.nc.gov Your letter may be mailed to me at: Michelle Cuthbertson PO Box 681376 Charlotte, NC 28216 I must receive your compliance letter by 10/30/2023. If a letter is not received by the required date another visit will be conducted to confirm the violation was corrected. If you have questions or concerns, please feel free to contact me by email or by phone at 704-297-5431. 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