NC GS 110-90 · Violation

Name of Operation: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 35 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent (99%) as of 9/29/25. Permit type – four (4) star license issued 4/14/25. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 3/11/25. The last fire drill was practiced on 9/30/25. The last shelter-in-place drill was practiced on 6/18/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 10/1/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 4/2/24 without hazards. Lead paint testing was conducted on 8/29/25. Hazards were identified in the staff bathroom. Continue to work with RTI to mitigate these hazards. Asbestos testing was completed on 6/30/25. No hazards were identified. There is one (1) new staff. One (1) new staff file was monitored. Upon arrival, I was greeted by Ms. Hensley. Children from classroom space 4 were playing on the large playground space. Children rode tricycles, played chasing games and swung on swings. In classroom space 1, children explored their environment through crawling and walking, explored mouthable toys and were soothed by caregivers. In classroom space 1, children explored various manipulatives, connected Magnatiles to form 2 dimensional shapes, and rolled cars down ramps. In classroom space 3, children participated in a teacher-led music and movement activity. Interactions were positive and joyful. Supervision was adequate. 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: Technical assistance was provided as follows: Item #887 In your letter of compliance, please include a statement that indicates how you will ensure sleep checks are conducted every fifteen (15) minutes as required by the safe sleep policy and rule .0606(g). We discussed using a quite alarm on a cell phone or tablet as a reminder. Item #1811 Plan to conduct a shelter-in-place or lockdown drill immediately. In your letter of compliance, include a statement that indicates this has been completed. 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 10/15/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. For one (1) child in classroom space 2, sleep checks were conducted at 1:00pm and at 1:35pm on 9/26/25. .0606(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 6/18/25 .0604(u);.0302(d)(8) Consultation is provided as follows: We discussed parent and family engagement policies. When updating your policies, plan to use the new Family and Community Engagement Standards from rule .3219 as a framework. This information can also be found on the Division’s website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present to ask and answer questions throughout the visit 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-seven percent (97%) as of 3/10/25. The facility is operated by the Madison County Board of Education. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 2/26/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/21/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) 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. The facility is approved to provide transportation. We discussed transportation is not currently offered at the facility. The facility does not have a vehicle on site. We discussed we will remove transportation from the list of approved activities for the license. If you would like to provide transportation in the future, please reach out so that we can review current requirements. Upon arrival, I was greeted by Ms. Hensley. Children from classroom spaces 1 and 2 were playing outside. Children were pushed toy trucks, explored electronic toys that played music, and climbed on a small climber. Children in classroom space 3 were explored their environment through crawling and pulling up on furniture, explored mouthable toys, and were soothed and fed by caregivers. Children in classroom space 4 built small structures and patterns with connecting blocks, pretended to cook food and put on a puppet show in dramatic play and balanced on stepping stone blocks. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child’s emergency medical care information was last updated on 2/6/24. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file within thirty (30) days of enrollment. GS110-91(1) The following items were cited as violations today. Compliance is due by 3/25/25: Item #1311 Child’s Emergency Medical Care Info: We discussed children’s emergency medical care information must be updated as changes occur or annually according to rule .0802(c). To reach compliance with this item, plan to update one (1) child’s emergency medical care information as indicated on the Children’s Records form. In your letter of compliance, include a statement indicating this has been completed. Item # 1321 Child Medical Report The parent of the one (1) child was contacted during the visit today to request the medical report. We discussed a print off of a recent well visit for the child would suffice. In your letter of compliance, please include a statement that indicates the medical report has been received and is in the child’s file. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur during future visits if compliance is not met: Item #415 Schedule: A schedule was not posted in the classroom for infants. Schedules must be posted for each caregiving space. Plan to refer to rule .0508 (e) and (f) for schedule requirements specific to children under two and three years old. To reach compliance for this item, post a schedule in the classroom for infants. Items #1048 and #1049 CPR and First Aid: One (1) staff did not receive CPR/First Aid training within ninety (90) days of employment. Three (3) staff received a training that did not include First Aid. You stated you have reach out to a trainer to schedule a training for all four (4) staff. Please note, staff who are missing safety trainings cannot be left alone with children and must remain within calling distance for help in the event of an emergency. Plan to adjust staff scheduling to ensure staff are paired with individuals who have updated CPR/First Aid training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 3/11/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Birth-Kindergarten, has twenty-four (24) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Fifty percent (50%) or four (4) lead teachers meet the following: NCECC, six (6) semester hours in Early Childhood Education completed, enroll in three (3) semester hours or completed 3 semester hours of early childhood education and have 3 years of full-time verifiable early childhood work earning four (4) points. The facility earns four (4) education points. Program Standards – The program currently meets enhanced space and enhanced ratios. On 2/20/24, the ECERS-R assessment was conducted, resulting in a score of 5.14. On 2/16/24, The ITERS-R assessment was conducted, resulting in a score of 4.73. The overall score is 4.94 points. The facility earns five (5) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and paid leave for professional development to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 4+ 5 + 1 = 10 for a Four (4) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed you have recently submitted transcripts for several staff and would like to wait until the WORKS letters have returned to finalize the Rated License. Please notify me when the WORKS letters have been updated and you would like to revisit education points. Consultation is provided as follows: Parent Participation Plan: We discussed the parent participation plan requirements in section .0515 of the NC Child Care Rules. Your current operational policies contain the requirements of the parent participation plan. We discussed editing the policies to specify the parent participation plan as a separate section. We discussed including the parent communication your facility provides via Brightwheel and newsletters. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx 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 is required to be completed by May 31, 2025. Action is needed to complete the lead-in-paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete the survey needed to determine next steps. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present to ask and answer questions throughout the visit 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-seven percent (97%) as of 3/10/25. The facility is operated by the Madison County Board of Education. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 2/26/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/21/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) 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. The facility is approved to provide transportation. We discussed transportation is not currently offered at the facility. The facility does not have a vehicle on site. We discussed we will remove transportation from the list of approved activities for the license. If you would like to provide transportation in the future, please reach out so that we can review current requirements. Upon arrival, I was greeted by Ms. Hensley. Children from classroom spaces 1 and 2 were playing outside. Children were pushed toy trucks, explored electronic toys that played music, and climbed on a small climber. Children in classroom space 3 were explored their environment through crawling and pulling up on furniture, explored mouthable toys, and were soothed and fed by caregivers. Children in classroom space 4 built small structures and patterns with connecting blocks, pretended to cook food and put on a puppet show in dramatic play and balanced on stepping stone blocks. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child’s emergency medical care information was last updated on 2/6/24. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file within thirty (30) days of enrollment. GS110-91(1) The following items were cited as violations today. Compliance is due by 3/25/25: Item #1311 Child’s Emergency Medical Care Info: We discussed children’s emergency medical care information must be updated as changes occur or annually according to rule .0802(c). To reach compliance with this item, plan to update one (1) child’s emergency medical care information as indicated on the Children’s Records form. In your letter of compliance, include a statement indicating this has been completed. Item # 1321 Child Medical Report The parent of the one (1) child was contacted during the visit today to request the medical report. We discussed a print off of a recent well visit for the child would suffice. In your letter of compliance, please include a statement that indicates the medical report has been received and is in the child’s file. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur during future visits if compliance is not met: Item #415 Schedule: A schedule was not posted in the classroom for infants. Schedules must be posted for each caregiving space. Plan to refer to rule .0508 (e) and (f) for schedule requirements specific to children under two and three years old. To reach compliance for this item, post a schedule in the classroom for infants. Items #1048 and #1049 CPR and First Aid: One (1) staff did not receive CPR/First Aid training within ninety (90) days of employment. Three (3) staff received a training that did not include First Aid. You stated you have reach out to a trainer to schedule a training for all four (4) staff. Please note, staff who are missing safety trainings cannot be left alone with children and must remain within calling distance for help in the event of an emergency. Plan to adjust staff scheduling to ensure staff are paired with individuals who have updated CPR/First Aid training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 3/11/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Birth-Kindergarten, has twenty-four (24) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Fifty percent (50%) or four (4) lead teachers meet the following: NCECC, six (6) semester hours in Early Childhood Education completed, enroll in three (3) semester hours or completed 3 semester hours of early childhood education and have 3 years of full-time verifiable early childhood work earning four (4) points. The facility earns four (4) education points. Program Standards – The program currently meets enhanced space and enhanced ratios. On 2/20/24, the ECERS-R assessment was conducted, resulting in a score of 5.14. On 2/16/24, The ITERS-R assessment was conducted, resulting in a score of 4.73. The overall score is 4.94 points. The facility earns five (5) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and paid leave for professional development to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 4+ 5 + 1 = 10 for a Four (4) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed you have recently submitted transcripts for several staff and would like to wait until the WORKS letters have returned to finalize the Rated License. Please notify me when the WORKS letters have been updated and you would like to revisit education points. Consultation is provided as follows: Parent Participation Plan: We discussed the parent participation plan requirements in section .0515 of the NC Child Care Rules. Your current operational policies contain the requirements of the parent participation plan. We discussed editing the policies to specify the parent participation plan as a separate section. We discussed including the parent communication your facility provides via Brightwheel and newsletters. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx 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 is required to be completed by May 31, 2025. Action is needed to complete the lead-in-paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete the survey needed to determine next steps. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present to ask and answer questions throughout the visit 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-seven percent (97%) as of 3/10/25. The facility is operated by the Madison County Board of Education. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 2/26/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/21/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) 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. The facility is approved to provide transportation. We discussed transportation is not currently offered at the facility. The facility does not have a vehicle on site. We discussed we will remove transportation from the list of approved activities for the license. If you would like to provide transportation in the future, please reach out so that we can review current requirements. Upon arrival, I was greeted by Ms. Hensley. Children from classroom spaces 1 and 2 were playing outside. Children were pushed toy trucks, explored electronic toys that played music, and climbed on a small climber. Children in classroom space 3 were explored their environment through crawling and pulling up on furniture, explored mouthable toys, and were soothed and fed by caregivers. Children in classroom space 4 built small structures and patterns with connecting blocks, pretended to cook food and put on a puppet show in dramatic play and balanced on stepping stone blocks. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child’s emergency medical care information was last updated on 2/6/24. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file within thirty (30) days of enrollment. GS110-91(1) The following items were cited as violations today. Compliance is due by 3/25/25: Item #1311 Child’s Emergency Medical Care Info: We discussed children’s emergency medical care information must be updated as changes occur or annually according to rule .0802(c). To reach compliance with this item, plan to update one (1) child’s emergency medical care information as indicated on the Children’s Records form. In your letter of compliance, include a statement indicating this has been completed. Item # 1321 Child Medical Report The parent of the one (1) child was contacted during the visit today to request the medical report. We discussed a print off of a recent well visit for the child would suffice. In your letter of compliance, please include a statement that indicates the medical report has been received and is in the child’s file. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur during future visits if compliance is not met: Item #415 Schedule: A schedule was not posted in the classroom for infants. Schedules must be posted for each caregiving space. Plan to refer to rule .0508 (e) and (f) for schedule requirements specific to children under two and three years old. To reach compliance for this item, post a schedule in the classroom for infants. Items #1048 and #1049 CPR and First Aid: One (1) staff did not receive CPR/First Aid training within ninety (90) days of employment. Three (3) staff received a training that did not include First Aid. You stated you have reach out to a trainer to schedule a training for all four (4) staff. Please note, staff who are missing safety trainings cannot be left alone with children and must remain within calling distance for help in the event of an emergency. Plan to adjust staff scheduling to ensure staff are paired with individuals who have updated CPR/First Aid training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 3/11/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Birth-Kindergarten, has twenty-four (24) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Fifty percent (50%) or four (4) lead teachers meet the following: NCECC, six (6) semester hours in Early Childhood Education completed, enroll in three (3) semester hours or completed 3 semester hours of early childhood education and have 3 years of full-time verifiable early childhood work earning four (4) points. The facility earns four (4) education points. Program Standards – The program currently meets enhanced space and enhanced ratios. On 2/20/24, the ECERS-R assessment was conducted, resulting in a score of 5.14. On 2/16/24, The ITERS-R assessment was conducted, resulting in a score of 4.73. The overall score is 4.94 points. The facility earns five (5) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and paid leave for professional development to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 4+ 5 + 1 = 10 for a Four (4) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed you have recently submitted transcripts for several staff and would like to wait until the WORKS letters have returned to finalize the Rated License. Please notify me when the WORKS letters have been updated and you would like to revisit education points. Consultation is provided as follows: Parent Participation Plan: We discussed the parent participation plan requirements in section .0515 of the NC Child Care Rules. Your current operational policies contain the requirements of the parent participation plan. We discussed editing the policies to specify the parent participation plan as a separate section. We discussed including the parent communication your facility provides via Brightwheel and newsletters. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx 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 is required to be completed by May 31, 2025. Action is needed to complete the lead-in-paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete the survey needed to determine next steps. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present to ask and answer questions throughout the visit 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-seven percent (97%) as of 3/10/25. The facility is operated by the Madison County Board of Education. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 2/26/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/21/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) 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. The facility is approved to provide transportation. We discussed transportation is not currently offered at the facility. The facility does not have a vehicle on site. We discussed we will remove transportation from the list of approved activities for the license. If you would like to provide transportation in the future, please reach out so that we can review current requirements. Upon arrival, I was greeted by Ms. Hensley. Children from classroom spaces 1 and 2 were playing outside. Children were pushed toy trucks, explored electronic toys that played music, and climbed on a small climber. Children in classroom space 3 were explored their environment through crawling and pulling up on furniture, explored mouthable toys, and were soothed and fed by caregivers. Children in classroom space 4 built small structures and patterns with connecting blocks, pretended to cook food and put on a puppet show in dramatic play and balanced on stepping stone blocks. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child’s emergency medical care information was last updated on 2/6/24. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file within thirty (30) days of enrollment. GS110-91(1) The following items were cited as violations today. Compliance is due by 3/25/25: Item #1311 Child’s Emergency Medical Care Info: We discussed children’s emergency medical care information must be updated as changes occur or annually according to rule .0802(c). To reach compliance with this item, plan to update one (1) child’s emergency medical care information as indicated on the Children’s Records form. In your letter of compliance, include a statement indicating this has been completed. Item # 1321 Child Medical Report The parent of the one (1) child was contacted during the visit today to request the medical report. We discussed a print off of a recent well visit for the child would suffice. In your letter of compliance, please include a statement that indicates the medical report has been received and is in the child’s file. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur during future visits if compliance is not met: Item #415 Schedule: A schedule was not posted in the classroom for infants. Schedules must be posted for each caregiving space. Plan to refer to rule .0508 (e) and (f) for schedule requirements specific to children under two and three years old. To reach compliance for this item, post a schedule in the classroom for infants. Items #1048 and #1049 CPR and First Aid: One (1) staff did not receive CPR/First Aid training within ninety (90) days of employment. Three (3) staff received a training that did not include First Aid. You stated you have reach out to a trainer to schedule a training for all four (4) staff. Please note, staff who are missing safety trainings cannot be left alone with children and must remain within calling distance for help in the event of an emergency. Plan to adjust staff scheduling to ensure staff are paired with individuals who have updated CPR/First Aid training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 3/11/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Birth-Kindergarten, has twenty-four (24) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Fifty percent (50%) or four (4) lead teachers meet the following: NCECC, six (6) semester hours in Early Childhood Education completed, enroll in three (3) semester hours or completed 3 semester hours of early childhood education and have 3 years of full-time verifiable early childhood work earning four (4) points. The facility earns four (4) education points. Program Standards – The program currently meets enhanced space and enhanced ratios. On 2/20/24, the ECERS-R assessment was conducted, resulting in a score of 5.14. On 2/16/24, The ITERS-R assessment was conducted, resulting in a score of 4.73. The overall score is 4.94 points. The facility earns five (5) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and paid leave for professional development to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 4+ 5 + 1 = 10 for a Four (4) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed you have recently submitted transcripts for several staff and would like to wait until the WORKS letters have returned to finalize the Rated License. Please notify me when the WORKS letters have been updated and you would like to revisit education points. Consultation is provided as follows: Parent Participation Plan: We discussed the parent participation plan requirements in section .0515 of the NC Child Care Rules. Your current operational policies contain the requirements of the parent participation plan. We discussed editing the policies to specify the parent participation plan as a separate section. We discussed including the parent communication your facility provides via Brightwheel and newsletters. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx 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 is required to be completed by May 31, 2025. Action is needed to complete the lead-in-paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete the survey needed to determine next steps. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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

GS110-91 · Violation

Name of Operation: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present to ask and answer questions throughout the visit 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-seven percent (97%) as of 3/10/25. The facility is operated by the Madison County Board of Education. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 2/26/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/21/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) 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. The facility is approved to provide transportation. We discussed transportation is not currently offered at the facility. The facility does not have a vehicle on site. We discussed we will remove transportation from the list of approved activities for the license. If you would like to provide transportation in the future, please reach out so that we can review current requirements. Upon arrival, I was greeted by Ms. Hensley. Children from classroom spaces 1 and 2 were playing outside. Children were pushed toy trucks, explored electronic toys that played music, and climbed on a small climber. Children in classroom space 3 were explored their environment through crawling and pulling up on furniture, explored mouthable toys, and were soothed and fed by caregivers. Children in classroom space 4 built small structures and patterns with connecting blocks, pretended to cook food and put on a puppet show in dramatic play and balanced on stepping stone blocks. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child’s emergency medical care information was last updated on 2/6/24. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file within thirty (30) days of enrollment. GS110-91(1) The following items were cited as violations today. Compliance is due by 3/25/25: Item #1311 Child’s Emergency Medical Care Info: We discussed children’s emergency medical care information must be updated as changes occur or annually according to rule .0802(c). To reach compliance with this item, plan to update one (1) child’s emergency medical care information as indicated on the Children’s Records form. In your letter of compliance, include a statement indicating this has been completed. Item # 1321 Child Medical Report The parent of the one (1) child was contacted during the visit today to request the medical report. We discussed a print off of a recent well visit for the child would suffice. In your letter of compliance, please include a statement that indicates the medical report has been received and is in the child’s file. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur during future visits if compliance is not met: Item #415 Schedule: A schedule was not posted in the classroom for infants. Schedules must be posted for each caregiving space. Plan to refer to rule .0508 (e) and (f) for schedule requirements specific to children under two and three years old. To reach compliance for this item, post a schedule in the classroom for infants. Items #1048 and #1049 CPR and First Aid: One (1) staff did not receive CPR/First Aid training within ninety (90) days of employment. Three (3) staff received a training that did not include First Aid. You stated you have reach out to a trainer to schedule a training for all four (4) staff. Please note, staff who are missing safety trainings cannot be left alone with children and must remain within calling distance for help in the event of an emergency. Plan to adjust staff scheduling to ensure staff are paired with individuals who have updated CPR/First Aid training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 3/11/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Birth-Kindergarten, has twenty-four (24) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Fifty percent (50%) or four (4) lead teachers meet the following: NCECC, six (6) semester hours in Early Childhood Education completed, enroll in three (3) semester hours or completed 3 semester hours of early childhood education and have 3 years of full-time verifiable early childhood work earning four (4) points. The facility earns four (4) education points. Program Standards – The program currently meets enhanced space and enhanced ratios. On 2/20/24, the ECERS-R assessment was conducted, resulting in a score of 5.14. On 2/16/24, The ITERS-R assessment was conducted, resulting in a score of 4.73. The overall score is 4.94 points. The facility earns five (5) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and paid leave for professional development to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 4+ 5 + 1 = 10 for a Four (4) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed you have recently submitted transcripts for several staff and would like to wait until the WORKS letters have returned to finalize the Rated License. Please notify me when the WORKS letters have been updated and you would like to revisit education points. Consultation is provided as follows: Parent Participation Plan: We discussed the parent participation plan requirements in section .0515 of the NC Child Care Rules. Your current operational policies contain the requirements of the parent participation plan. We discussed editing the policies to specify the parent participation plan as a separate section. We discussed including the parent communication your facility provides via Brightwheel and newsletters. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx 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 is required to be completed by May 31, 2025. Action is needed to complete the lead-in-paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete the survey needed to determine next steps. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 37 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present to ask and answer questions throughout the visit 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-seven percent (97%) as of 3/10/25. The facility is operated by the Madison County Board of Education. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 2/26/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/21/25. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) 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. The facility is approved to provide transportation. We discussed transportation is not currently offered at the facility. The facility does not have a vehicle on site. We discussed we will remove transportation from the list of approved activities for the license. If you would like to provide transportation in the future, please reach out so that we can review current requirements. Upon arrival, I was greeted by Ms. Hensley. Children from classroom spaces 1 and 2 were playing outside. Children were pushed toy trucks, explored electronic toys that played music, and climbed on a small climber. Children in classroom space 3 were explored their environment through crawling and pulling up on furniture, explored mouthable toys, and were soothed and fed by caregivers. Children in classroom space 4 built small structures and patterns with connecting blocks, pretended to cook food and put on a puppet show in dramatic play and balanced on stepping stone blocks. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One (1) child’s emergency medical care information was last updated on 2/6/24. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical exam on file within thirty (30) days of enrollment. GS110-91(1) The following items were cited as violations today. Compliance is due by 3/25/25: Item #1311 Child’s Emergency Medical Care Info: We discussed children’s emergency medical care information must be updated as changes occur or annually according to rule .0802(c). To reach compliance with this item, plan to update one (1) child’s emergency medical care information as indicated on the Children’s Records form. In your letter of compliance, include a statement indicating this has been completed. Item # 1321 Child Medical Report The parent of the one (1) child was contacted during the visit today to request the medical report. We discussed a print off of a recent well visit for the child would suffice. In your letter of compliance, please include a statement that indicates the medical report has been received and is in the child’s file. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur during future visits if compliance is not met: Item #415 Schedule: A schedule was not posted in the classroom for infants. Schedules must be posted for each caregiving space. Plan to refer to rule .0508 (e) and (f) for schedule requirements specific to children under two and three years old. To reach compliance for this item, post a schedule in the classroom for infants. Items #1048 and #1049 CPR and First Aid: One (1) staff did not receive CPR/First Aid training within ninety (90) days of employment. Three (3) staff received a training that did not include First Aid. You stated you have reach out to a trainer to schedule a training for all four (4) staff. Please note, staff who are missing safety trainings cannot be left alone with children and must remain within calling distance for help in the event of an emergency. Plan to adjust staff scheduling to ensure staff are paired with individuals who have updated CPR/First Aid training. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/25/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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. Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 3/11/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Birth-Kindergarten, has twenty-four (24) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Fifty percent (50%) or four (4) lead teachers meet the following: NCECC, six (6) semester hours in Early Childhood Education completed, enroll in three (3) semester hours or completed 3 semester hours of early childhood education and have 3 years of full-time verifiable early childhood work earning four (4) points. The facility earns four (4) education points. Program Standards – The program currently meets enhanced space and enhanced ratios. On 2/20/24, the ECERS-R assessment was conducted, resulting in a score of 5.14. On 2/16/24, The ITERS-R assessment was conducted, resulting in a score of 4.73. The overall score is 4.94 points. The facility earns five (5) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and paid leave for professional development to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 4+ 5 + 1 = 10 for a Four (4) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed you have recently submitted transcripts for several staff and would like to wait until the WORKS letters have returned to finalize the Rated License. Please notify me when the WORKS letters have been updated and you would like to revisit education points. Consultation is provided as follows: Parent Participation Plan: We discussed the parent participation plan requirements in section .0515 of the NC Child Care Rules. Your current operational policies contain the requirements of the parent participation plan. We discussed editing the policies to specify the parent participation plan as a separate section. We discussed including the parent communication your facility provides via Brightwheel and newsletters. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx 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 is required to be completed by May 31, 2025. Action is needed to complete the lead-in-paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete the survey needed to determine next steps. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 41 Completed Date: 1/16/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lynn Hensley, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Hensley was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 1/13/25. Permit type – Four (4) star license issued 6/24/19. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only. The facility is approved to provide transportation and serves children with special needs. The last annual compliance visit was conducted on 4/3/24. The last fire drill was practiced on 11/26/24. The last shelter-in-place drill was practiced on 10/31/24. The last fire inspection was approved on 11/24/24. The last sanitation inspection was conducted on 12/6/24 with fourteen (14) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Hensley who accompanied me on a walkthrough of caregiving spaces. In classroom space 1, children were engaged in independent free play, pretending to give peers and teachers a check up with toy doctor tools. In classroom space 3, children cut shapes and rolled playdoh and drew pictures with crayons on construction paper. In classroom space 2, children explored the environment by crawling and cruising, were fed and soothed by caregivers and engaged in tummy time activities. In classroom space 4, children were engaged in independent free play. Children scooped and dumped sand in a sand table, pretended to cook and serve food in dramatic play, read books with peers and played board games. Interactions were positive and nurturing. Supervision was adequate. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for December 2024 was not documented on a log. .0604(t); .0302(d)(5) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for one (1) infant were not documented on 1/15/25. .0606(g) Technical assistance was provided as follows: The following items were documented as violations during the visit today. Compliance is due by 1/30/25. Item #805 Fire Drill: We discussed that fire drills must be conducted monthly and must be documented on a log. Plan to reach out to your fire marshal’s office to ensure that documentation on Brightwheel is sufficient for their requirements. In your letter of compliance, please indicate that a fire drill was conducted and state how you will prevent this violation from occurring in the future. Item #887 Sleep Checks: We discussed that sleep checks are currently being documented on both a paper form and a digital format, Brightwheel. We discussed that documenting sleep checks on Brightwheel is sufficient. Plan to update your safe sleep policy if you decide to document sleep checks on Brightwheel, exclusively. As a reminder, parents must be notified of any changes in safe sleep policy 14 days prior to implementation. In your letter of compliance, please state how you will prevent this violation from occurring in the future. The following items were not documented as violations today. Due to the State of Emergency caused by Tropical Storm Helene, additional guidance and time is given to achieve compliance for certain items. Please note, violations may be cited in future visits if compliance is not met: CPR/First Aid: One (1) staff, hire date 8/19/24, does not have a CPR/First Aid certificate on file. We discussed challenges with finding a class for this staff member. Buncombe Partnership for Children has space in a class on 2/22/25. Additionally, there are several spaces available for Red Cross trainings in Asheville on 1/18/25 and 1/25/25. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/30/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Expiring Medication and Permission: One diaper cream permission form in classroom space 1 will expire on 2/1/25. One diaper cream in classroom space 2 will expire 1/31/25. Adding School Age Care/Approved Space: We discussed you would like to start and afterschool and/or summer program for school age children. We discussed that the capacity for classroom space 4 is fifty-three (53) children at thirty (30) square feet per child. We discussed you can use furnishings to divide the classroom so that two (2) groups can occupy the space. I will need to come out and measure the divided spaces, so a thirty day notice would be required. As a reminder, the administrator and all school-aged caregivers would need to have BSAC training. 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. ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 is required to be completed by May 31, 2025. Visit https://www.cleanwaterforuskids.org/en/carolina/ to enroll in Lead in Paint and Asbestos testing. Rated License: We discussed that your program was formerly placed in cohort 1 and you participated in the Prep Year Assessment option for ITERS-R and ECERS-R. A copy of the Staff Information Sheet and Application for a Rated License Reassessment was included in the email containing this visit summary. Plan to complete the forms and send to me by mid-March if you would like to move forward with the Rated License Reassessment by 6/30/25. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 36 Completed Date: 12/4/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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. Lynn Hensley, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 4/17/23. 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 Children were observed in eating a healthy lunch space one (1). Children in Space two (2) had two (2) children playing on the floor with toys. One (1) was sleeping in her crib. In space four (4) were washing hands and finishing lunch. There were no new staff members since your Annual Compliance. No new staff files were monitored. The last fire drill was practiced on 11/28/23. The last shelter-in-place drill/lockdown drill was practiced on 9/5/23. The last fire inspection was approved on 11/28/23. The last sanitation inspection was completed on 8/10/23 with zero (0) 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 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 8/10/23. Ms. Hensley has emailed, called and had an in person request with environmental Health asking for his inspection. She was told they will get to her as soon as possible that they are backed up. 10A NCAC 09 .0304(b) Technical Assistance for Correction Plan: Item 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 8/10/23. Ms. Hensley has emailed, called and had an in person request with environmental Health asking for his inspection. She was told they will get to her as soon as possible that they are backed up. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 12/18/23. Email the compliance letter on signed letterhead or on 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 email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: 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 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.

G.S. 110-90 · Violation

Name of Operation: MARS HILL EARLY CHILDHOOD EDUCATION CENTER Facility ID: 57000010 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 12/4/2023 Number Present: 36 Completed Date: 12/4/2023 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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. Lynn Hensley, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 4/17/23. 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 Children were observed in eating a healthy lunch space one (1). Children in Space two (2) had two (2) children playing on the floor with toys. One (1) was sleeping in her crib. In space four (4) were washing hands and finishing lunch. There were no new staff members since your Annual Compliance. No new staff files were monitored. The last fire drill was practiced on 11/28/23. The last shelter-in-place drill/lockdown drill was practiced on 9/5/23. The last fire inspection was approved on 11/28/23. The last sanitation inspection was completed on 8/10/23 with zero (0) 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 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 8/10/23. Ms. Hensley has emailed, called and had an in person request with environmental Health asking for his inspection. She was told they will get to her as soon as possible that they are backed up. 10A NCAC 09 .0304(b) Technical Assistance for Correction Plan: Item 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 8/10/23. Ms. Hensley has emailed, called and had an in person request with environmental Health asking for his inspection. She was told they will get to her as soon as possible that they are backed up. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Correction Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • • Facility name • • Facility ID# • • Date of visit • • Violation item number • • Statement of compliance I must receive your compliance statement by 12/18/23. Email the compliance letter on signed letterhead or on 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 email Sidney.Mccrory@dhhs.nc.gov or call 828.550.7655, if you need assistance. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18 month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: 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 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