G.S. 110-90 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 3 To 3 Total Minutes: 160 Time In: 09:20 AM Time Out: 12:00 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 Veronica Sotolongo, Lead Teacher, during the visit. Monica Houck, Lead Child Care Consultant, was also present, conducting a visit at the neighboring child care facility. A signed copy of the visit summary was emailed to you. Ms. Sotolongo and Margaret Meehan, Assistant Teacher, were 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-three percent of 4/14/25. Permit type – Five (5) star license issued 12/6/24. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/19/24. The fire drill and lockdown/shelter-in-place drill log was blank. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 4/10/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted Upon arrival, I was greeted by Ms. Sotolongo. Children were engaged in independent center play. Children cleaned up and washed hands before joining together in a large group morning meeting. The meeting was led by the teacher and the group sang songs, discussed the calendar and engaged in gross motor movement activities. After morning meeting, children transitioned to snack. Snack today consisted of oranges and cheese puffs. Children then transitioned to outdoor play. Outdoors, children swung on swings, dug holes in a sandbox with various tools and pushed toy trucks on various surfaces. 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. The fire drill log was blank. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was documented on 1/6/25. .0605(q) 1041 Prior to employment a Criminal Background Check was not completed. Staff M. Meehan’s date of employment is listed as 12/16/24. The Criminal Background Check qualifying letter is dated 12/27/24. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The Criminal Background Check qualifying letter for M. Meehan was not on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drill log was blank. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The pea gravel around the swings measured between two (2) and five (5) inches in various locations. .0605(k)(1-4) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed on the Emergency Medical Care Plan were not present at the facility. .0802(b)(1-2) Technical assistance was provided as follows: Item #805 and 1811 Safety Drills: Fire drills must be completed monthly. Shelter-in-place/lockdown drills must be conducted every three (3) months. Plan to maintain the safety drill log for the previous months in a location that is easily accessible to staff and Division representatives. For compliance, plan to conduct a fire drill and shelter-in-place/lockdown drill and document it on the log. In your letter of compliance, please indicate that you have conducted a fire drill and shelter-in-place/lockdown drill and documented it on the log. Also in your letter of compliance, please include a statement that indicates how you will ensure safety drills are logged and the records are maintained for review as needed. Item #859: Playground inspections must be conducted monthly. You can choose to conduct a playground inspection on the same day as the fire drill as helpful way to remember to complete both monthly requirements. For compliance, complete a playground inspection and maintain it on file. In your letter of compliance, include a statement that indicates the playground inspection has been completed and is maintained on file. Also in your letter of compliance, include a statement that indicates how you will ensure this violations does not occur in the future. Item #1041 and #1757 Criminal Background Check qualifying letter: Staff must have a Criminal Background Check qualifying letter prior to employment. We count employment from the first day they are paid. For compliance, print the Criminal Background Check qualifying letter for M. Meehan and place in their staff file. In your letter of compliance, include a statement that indicates the letter is on file. Also in your letter of compliance, include a statement that indicates how you will prevent this violation from occurring in the future. Item #1867 Pea Gravel Depth: The pea gravel must be six (6) inches deep two (2) times the length of the pivot point to the surface below in the front and back of the swings. You recently had additional surfacing delivered, but the depth has not been maintained. You may consider moving your barriers closer, up to the measurement listed above, to create a tighter containment for the swings. For compliance, additional pea gravel must be added to reach a depth of six (6) inches. In your letter of compliance, include a statement that indicates the depth has reached six (6) inches. Item #1914 Emergency Medical Care Plan: You can list multiple staff as the person responsible for carrying out the plan and the alternate. Plan to add your new Lead Teacher and Teacher to the Emergency Medical Care Plan posted in the hallway. For compliance, add the names of your new Lead Teacher and Teacher to the Emergency Medical Care Plan. In your letter of compliance, please include a statement that indicates you have added the names of new staff to the Emergency Medical Care Plan. 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 4/29/25. 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: Lead Based 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. Additional action is needed on your part to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. 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. 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.

NC GS 110-90 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 6 Completed Date: 4/15/2025 Age: From 3 To 3 Total Minutes: 160 Time In: 09:20 AM Time Out: 12:00 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 Veronica Sotolongo, Lead Teacher, during the visit. Monica Houck, Lead Child Care Consultant, was also present, conducting a visit at the neighboring child care facility. A signed copy of the visit summary was emailed to you. Ms. Sotolongo and Margaret Meehan, Assistant Teacher, were 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-three percent of 4/14/25. Permit type – Five (5) star license issued 12/6/24. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/19/24. The fire drill and lockdown/shelter-in-place drill log was blank. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 4/10/25 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted Upon arrival, I was greeted by Ms. Sotolongo. Children were engaged in independent center play. Children cleaned up and washed hands before joining together in a large group morning meeting. The meeting was led by the teacher and the group sang songs, discussed the calendar and engaged in gross motor movement activities. After morning meeting, children transitioned to snack. Snack today consisted of oranges and cheese puffs. Children then transitioned to outdoor play. Outdoors, children swung on swings, dug holes in a sandbox with various tools and pushed toy trucks on various surfaces. 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. The fire drill log was blank. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was documented on 1/6/25. .0605(q) 1041 Prior to employment a Criminal Background Check was not completed. Staff M. Meehan’s date of employment is listed as 12/16/24. The Criminal Background Check qualifying letter is dated 12/27/24. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The Criminal Background Check qualifying letter for M. Meehan was not on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place/lockdown drill log was blank. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The pea gravel around the swings measured between two (2) and five (5) inches in various locations. .0605(k)(1-4) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The staff listed on the Emergency Medical Care Plan were not present at the facility. .0802(b)(1-2) Technical assistance was provided as follows: Item #805 and 1811 Safety Drills: Fire drills must be completed monthly. Shelter-in-place/lockdown drills must be conducted every three (3) months. Plan to maintain the safety drill log for the previous months in a location that is easily accessible to staff and Division representatives. For compliance, plan to conduct a fire drill and shelter-in-place/lockdown drill and document it on the log. In your letter of compliance, please indicate that you have conducted a fire drill and shelter-in-place/lockdown drill and documented it on the log. Also in your letter of compliance, please include a statement that indicates how you will ensure safety drills are logged and the records are maintained for review as needed. Item #859: Playground inspections must be conducted monthly. You can choose to conduct a playground inspection on the same day as the fire drill as helpful way to remember to complete both monthly requirements. For compliance, complete a playground inspection and maintain it on file. In your letter of compliance, include a statement that indicates the playground inspection has been completed and is maintained on file. Also in your letter of compliance, include a statement that indicates how you will ensure this violations does not occur in the future. Item #1041 and #1757 Criminal Background Check qualifying letter: Staff must have a Criminal Background Check qualifying letter prior to employment. We count employment from the first day they are paid. For compliance, print the Criminal Background Check qualifying letter for M. Meehan and place in their staff file. In your letter of compliance, include a statement that indicates the letter is on file. Also in your letter of compliance, include a statement that indicates how you will prevent this violation from occurring in the future. Item #1867 Pea Gravel Depth: The pea gravel must be six (6) inches deep two (2) times the length of the pivot point to the surface below in the front and back of the swings. You recently had additional surfacing delivered, but the depth has not been maintained. You may consider moving your barriers closer, up to the measurement listed above, to create a tighter containment for the swings. For compliance, additional pea gravel must be added to reach a depth of six (6) inches. In your letter of compliance, include a statement that indicates the depth has reached six (6) inches. Item #1914 Emergency Medical Care Plan: You can list multiple staff as the person responsible for carrying out the plan and the alternate. Plan to add your new Lead Teacher and Teacher to the Emergency Medical Care Plan posted in the hallway. For compliance, add the names of your new Lead Teacher and Teacher to the Emergency Medical Care Plan. In your letter of compliance, please include a statement that indicates you have added the names of new staff to the Emergency Medical Care Plan. 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 4/29/25. 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: Lead Based 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. Additional action is needed on your part to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. 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. 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 .0604 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 .0304 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 .1102 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 110-91 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 12 Completed Date: 11/19/2024 Age: From 3 To 4 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 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. 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 Rachel Maietta, Operator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Maietta 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, 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-six percent (96%) as of 11/18/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mountain Breeze School, is current/active as of 11/5/24. Permit type – Five (5) star license issued 9/3/17. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 11/20/23. The last fire drill was practiced on 9/24/24. The last shelter-in-place drill was practiced on 7/15/24. The last playground inspection was documented on 11/14/24. The last fire inspection was approved on 6/20/24. The last sanitation inspection was conducted on 12/12/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival I was greeted by Ms. Maietta. Children were engaged in outdoor free choice play. Children scooped and poured sand in the sandbox, threw large rubber balls, swung on swings, pretended to cook and serve food in a mud kitchen, and observed birds discussing their characteristics with caregivers. Interactions were positive and nurturing, supervision was adequate. The program does not provide transportation. 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 cited during the visit today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. All swings had rust at the top of the chain. One (1) swing had rubber peeling off of the swing chain. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) outlets were uncovered in the main caregiving spaces. 10A NCAC 09 .0604(c) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Benadryl was kept in an unlocked backpack. 15A NCAC 18A .2820(d) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1803 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. One (1) household member who is over the age of 15 did not have a Criminal Background Check qualifying letter on file. G.S. 110-90.2 & .2703(q) Technical Assistance provided as follows: The following items were cited as violations. The rule references can be found in the violations listed above: Outlets The three (3) outlets were covered during the visit today. We discussed ideas on how to maintain compliance with this item including using Velcro to keep the outlet covers nearby when not in use. Medication Storage We discussed placing the Benadryl in another compartment of the back pack and using a small lock to secure it. We discussed that Benadryl is not considered life saving medication as it takes minutes to go into effect and, therefore, must remain in locked storage. The Epipen does not need to be locked as its effects are immediate and lifesaving. Playground Swings We discussed that the rusted chains can be sanded and painted for repair. The rubber on the one (1) chain can be removed or swing can be replaced. The S hooks can be closed using a pair of pliers to prevent pinch and crush points. Criminal Background Check: All individuals over 15 year old who reside in a Child Care Center in Residence must have a Criminal Background Check qualifying letter on file. One (1) household member recently turned 16. In order to reach compliance, this individual must receive a Criminal Background Check qualifying letter which must be maintained on file at the child care facility. The following items were not cited as violations during the visit today. Due to the effects of Tropical Storm Helene, this facility in located in an area under a State of Emergency. Additional guidance and time is given to meet compliance for the items listed below. Please note monitoring for these items may occur at a future visit. If compliance is not reached, violations may be cited: Fire Drills and Shelter-in-place/Lockdown Drills: Staff were displaced during the month of October due to the aftermath of Tropical Storm Helene. The fire drill and shelter-in-place drill for October were missed. Moving forward, create a plan that ensures fire drills are conducted every month and that shelter-in-place or lockdown drills are conducted every three months. CPR/First Aid One (1) staff holds a Basic Life Support (BLS) that is valid through 1/2026. Please note this training does not meet requirements for First Aid but does meet requirements for CPR. This staff member must locate a First Aid training to reach compliance. Staff Medical Report and TB Test/Screening: Staff medical reports and TB tests must be less than 12 months old upon receipt of the report. One (1) staff hire date 8/23/21 received their Medical Report and TB screening on 10/14/19. This staff will need an updated Medical Report and TB test on file in order to reach compliance. Medical Files: Medical files for staff include Health Questionnaire, Medical Report and TB test or screening must be placed in a separate, confidential file. 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 12/3/24. 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: You submitted your application for reassessment in March 2023. An updated application was received on 11/19/24. 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 operator/lead teacher has a four (4) year degree in Developmental Psychology and has thirteen (13) years of experience earning seven (7) points. The additional lead teacher has a four (4) year degree in another field with twelve (12) semester hours in early childhood education/child development with ten (10) years of experience earning seven (7) points. A third lead teacher has a high school diploma and the NC Early Childhood Credential with six (6) years of experience earning four (4) points. Fifty percent (50%) of lead teachers meet the seven (7) point level. The facility earns seven (7) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 4/20/23, the FCCRS-R assessment was conducted, resulting in a score of 5.28. The facility earns seven (7) 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, paid planning time and paid leave for professional development to meet the staff benefits package requirement. The facility provides newsletters and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 7 + 1 = 15 for a Five (5) 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. Consultation is provided as follows: We discussed that all prescription medication must be stored with its original container with the prescribers information. One (1) child’s Epipen expired 10/2024. Ensure that the parent knows to send in the new Epipen in the original pharmacy packaging. We discussed incident reports on Brightwheel. Plan to have parents sign the paper copy of the incident report or include a signature line on the Brightwheel incident report, if possible. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 .0601 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d 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 .0302 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d 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: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 10 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:45 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This center operates with a Five Star License. Rachel Maietta, Administrator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 11/20/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed ITS-SIDS Training Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed children ages three to five years old playing on the playground. They had just arrived from a walk in the woods discovering a plant and talking about its qualities. The kids washed hands and ate a healthy lunch of pizza, peppers, apples, and milk. There were no new staff members since the facility had their Annual Compliance on 11/20/23. The last fire drill was practiced on 5/6/24. The last shelter-in-place drill/lockdown drill was practiced on 4/9/24. The last fire inspection was approved 5/25/24. The last sanitation inspection was completed on 12/12/23 with three (3) demerits for a Superior rating. The Emergency Preparedness and Response plan has been completed. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. 10A NCAC 09 .0604(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. .0604(u);.0302(d)(8) Electrical Outlets Item 812- Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Note: Two (2) outlets were uncovered in front space of classroom. The outlets were at children's level in center space. This waas corrected during visit. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 807 A safe indoor and outdoor environment was not provided for the children. Note: A blind on the inside door was broken with strings hanging down at eye level for a child. The playground had a garden hose laying on the playground that was unraveled and in reach of children. This was corrected during the visit. The Administrator removed the blind and hose from the two spaces and moved them out of reach of children. According 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. Missed Emergency Drill Item 1811- an emergency drill either a “shelter-in-place’ or lockdown must be completed every three months. Note: The last Lockdown was completed on 10/20/23 and 4/9/24. No emergency drill was completed for the month of January. Make sure emergency drills are done every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.Mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.McCrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation. We discussed your new addition and you and Monica Houck have been in contact. We discussed your summer schedule, and you will be closed July 22nd to August 19th. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. 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@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 9 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 190 Time In: 10:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Rachel Maietta, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Rachel Maietta, administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Mountain Breeze Preschool is current and active, 11/20/23. Permit type –Five Star License issued 9/3/2017. Special Services/Restrictions – Day time care only; Meets enhanced space; meets reduced ratio. The last annual compliance visit was conducted on 12/1/22. The last fire drill was practiced on 10/13/23. The last shelter-in-place drill was practiced on 10/30/23. The last playground inspection was documented on 10/14/23. The last fire inspection was approved on 5/25/23. The last sanitation inspection was conducted on 7/21/22 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculumn. Upon arrival I introduced my presence to the Administrator. I observed a group with three- to five-year-old children engaged in outdoor play. Children were making boats and airplanes out of bark. I observed two children on the playground engaged with dolls while swinging. Teachers were engaged and actively playing with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 10A NCAC 09 .0304(b) Technical assistance was provided as follows: 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550.7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your plans for the new grant you received. You are working with building, sanitation, and fire inspectors for your new addition. You are keeping me in the loop so I can move forward on the licensing end when ready. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 9 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 190 Time In: 10:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Rachel Maietta, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Rachel Maietta, administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Mountain Breeze Preschool is current and active, 11/20/23. Permit type –Five Star License issued 9/3/2017. Special Services/Restrictions – Day time care only; Meets enhanced space; meets reduced ratio. The last annual compliance visit was conducted on 12/1/22. The last fire drill was practiced on 10/13/23. The last shelter-in-place drill was practiced on 10/30/23. The last playground inspection was documented on 10/14/23. The last fire inspection was approved on 5/25/23. The last sanitation inspection was conducted on 7/21/22 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculumn. Upon arrival I introduced my presence to the Administrator. I observed a group with three- to five-year-old children engaged in outdoor play. Children were making boats and airplanes out of bark. I observed two children on the playground engaged with dolls while swinging. Teachers were engaged and actively playing with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 10A NCAC 09 .0304(b) Technical assistance was provided as follows: 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550.7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your plans for the new grant you received. You are working with building, sanitation, and fire inspectors for your new addition. You are keeping me in the loop so I can move forward on the licensing end when ready. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 9 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 190 Time In: 10:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Rachel Maietta, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Rachel Maietta, administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Mountain Breeze Preschool is current and active, 11/20/23. Permit type –Five Star License issued 9/3/2017. Special Services/Restrictions – Day time care only; Meets enhanced space; meets reduced ratio. The last annual compliance visit was conducted on 12/1/22. The last fire drill was practiced on 10/13/23. The last shelter-in-place drill was practiced on 10/30/23. The last playground inspection was documented on 10/14/23. The last fire inspection was approved on 5/25/23. The last sanitation inspection was conducted on 7/21/22 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculumn. Upon arrival I introduced my presence to the Administrator. I observed a group with three- to five-year-old children engaged in outdoor play. Children were making boats and airplanes out of bark. I observed two children on the playground engaged with dolls while swinging. Teachers were engaged and actively playing with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 10A NCAC 09 .0304(b) Technical assistance was provided as follows: 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550.7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your plans for the new grant you received. You are working with building, sanitation, and fire inspectors for your new addition. You are keeping me in the loop so I can move forward on the licensing end when ready. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 9 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 190 Time In: 10:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Rachel Maietta, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Rachel Maietta, administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Mountain Breeze Preschool is current and active, 11/20/23. Permit type –Five Star License issued 9/3/2017. Special Services/Restrictions – Day time care only; Meets enhanced space; meets reduced ratio. The last annual compliance visit was conducted on 12/1/22. The last fire drill was practiced on 10/13/23. The last shelter-in-place drill was practiced on 10/30/23. The last playground inspection was documented on 10/14/23. The last fire inspection was approved on 5/25/23. The last sanitation inspection was conducted on 7/21/22 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculumn. Upon arrival I introduced my presence to the Administrator. I observed a group with three- to five-year-old children engaged in outdoor play. Children were making boats and airplanes out of bark. I observed two children on the playground engaged with dolls while swinging. Teachers were engaged and actively playing with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 10A NCAC 09 .0304(b) Technical assistance was provided as follows: 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550.7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your plans for the new grant you received. You are working with building, sanitation, and fire inspectors for your new addition. You are keeping me in the loop so I can move forward on the licensing end when ready. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MOUNTAIN BREEZE PRESCHOOL Facility ID: 57000068 Consultant: SIDNEY MCCRORY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 9 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 190 Time In: 10:15 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Rachel Maietta, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Today, Rachel Maietta, administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percentage as of 11/20/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Mountain Breeze Preschool is current and active, 11/20/23. Permit type –Five Star License issued 9/3/2017. Special Services/Restrictions – Day time care only; Meets enhanced space; meets reduced ratio. The last annual compliance visit was conducted on 12/1/22. The last fire drill was practiced on 10/13/23. The last shelter-in-place drill was practiced on 10/30/23. The last playground inspection was documented on 10/14/23. The last fire inspection was approved on 5/25/23. The last sanitation inspection was conducted on 7/21/22 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculumn. Upon arrival I introduced my presence to the Administrator. I observed a group with three- to five-year-old children engaged in outdoor play. Children were making boats and airplanes out of bark. I observed two children on the playground engaged with dolls while swinging. Teachers were engaged and actively playing with children. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 10A NCAC 09 .0304(b) Technical assistance was provided as follows: 0104- Center has not passed the required sanitation inspection and received an approved or superior rating. Note: Sanitation expired on 7/21/23. R. Maietta went to environmental health office to ask for the inspection. She was told she will receive the inspection next week. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.mccrory@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550.7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed your plans for the new grant you received. You are working with building, sanitation, and fire inspectors for your new addition. You are keeping me in the loop so I can move forward on the licensing end when ready. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times