10A NCAC 09 .0102 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 7 Completed Date: 8/18/2025 Age: From 4 To 4 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the third temporary time period visit and review the Environment Rating Scale (ERS) assessment. The program was closed from 7/19/25 through 8/17/25. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Building Inspection – 7/29/25 with ramp installed (original building inspection collected today) Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You stated you have notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. One (1) new staff file was reviewed. One (1) existing staff file had limited monitoring. I observed children during free play, routine care, morning snack, and outdoor play. The pea gravel at the swings measured six (6) inches or more in the fall zone areas during the visit. You stated the pea gravel is being tilled more often to keep it from compacting. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. 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 of child care requirements were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff hired on 8/23/21 had Basic Life Support training from the American Heart Association that expires 1/2026, which included CPR training and did not include First Aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 7/18/25 had 3.5 clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 9/1/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Item #1048 S.A. Jackson must complete a valid First Aid training on or before 9/1/25. We discussed where to find the approved agencies and approved course titles on what meets CPR and First Aid requirements on the Division's website. You stated you will contact the local Child Care Resource and Referral to set a training date within the next week or week and a half. *Item #1067 L. Zeller must receive an additional 1.5 hours of training within the required topic areas. In addition, a plan must be provided to state how the six (6) hours of training within the required topic areas will be completed within two (2) weeks for any future staff. You stated there were more hours that may have been completed and not documented or within other topic areas. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was eighty-eight percent (88%) prior to today’s visits. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. The following positions are part of the rated license evaluation: Administrator – R. Maietta stated she submitted her official transcripts to WORKS on ???. Based on the WORKS account, the official transcripts have not been received. Lead Teacher – L. Zeller meets the seven (7) point level for the lead teacher position by having a two year early childhood associate degree and more than two years of experience. Teacher – K. Reese undetermined point level for the teacher position by having the North Carolina Early Childhood Credential (NCECC) equivalent, and an additional twelve (12) semester hours in early childhood development, and eight (8) months of experience in child care based on working at the current child care facility. If there is additional experience, it will need to be documented on the application to be considered. One (1) education point may be earned under staff education if the administrator position has not had education evaluated by WORKS prior to the expiration of the temporary license. Program Standards – The ECERS-R assessment was conducted on 5/29/25. The assessment report was reviewed during the visit. The score for ECERS-R was 5.49. The ERS assessment score is valid for three years. The facility has earned seven (7) points for program points. The facility is required to meet enhanced space and highest enhanced (reduced) staff/child ratios to earn seven (7) points in program standards for the rated license. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility has been verified as earning one quality point by meeting the following: having a staff benefits package that offers the four benefits of paid leave for professional development, paid planning time, vacation, and sick time; and infrastructure of parent involvement to include quarterly newsletters and quarterly parent meetings. Points may change based on final review. Curriculum: The approved curriculum being implemented by the facility is Creative Curriculum for Preschoolers. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation and Review of Environment Rating Scale assessment report: ECERS-R Summary Report Scores Under Three (3) Points ECERS-R assessment- 5/22/25 - (Lauren Konz, Kristenna Reese) Total score: 5.49 Item 7 Indicator: 3.3 (see pages: 15-27 in the ECERS-3) Score: 2 pts This indicator is not a licensing requirement. It is best practice for children to use gross motor equipment that promotes at least seven (7) skills. Item 25 Indicator: 3.3 (see pages: 47-67 in the ECERS-3) Score: 2 pts. This indicator is not a licensing requirement. It is best practice for staff to engage positively with children to talk about numbers. Consultation: An annual compliance visit will be conducted no later than March 2026. You can obtain the annual fire inspection form and staff and training worksheet form under the provider tab, then provider documents and forms tab at https://ncchildcare.ncdhhs.gov/. Before your annual compliance visit is due, please complete the staff and training worksheet form and submit to your child care consultant. It is recommended that you submit the staff and training worksheet ninety days from your anticipated annual compliance due date. You must complete your annual fire inspection before 12/10/25. Submit the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. Sanitation inspections must be completed at least annually. All staff must have completed the required applicable Health and Safety Training requirements and have documentation on file for review within the first twelve (12) months of employment. In August, the Division will provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times to better understand the .3200 section of the new child care rules, pathways to the stars: • August 18th at 1:00pm • August 20th at 6:30pm Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Kaitlyn Marshall, child care consultant after the temporary license time period has ended. You can contact Ms. Marshall at (828) 713-8192 or at: kaitlyn.marshall@dhhs.nc.gov. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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 .2802 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 7 Completed Date: 8/18/2025 Age: From 4 To 4 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the third temporary time period visit and review the Environment Rating Scale (ERS) assessment. The program was closed from 7/19/25 through 8/17/25. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Building Inspection – 7/29/25 with ramp installed (original building inspection collected today) Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You stated you have notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. One (1) new staff file was reviewed. One (1) existing staff file had limited monitoring. I observed children during free play, routine care, morning snack, and outdoor play. The pea gravel at the swings measured six (6) inches or more in the fall zone areas during the visit. You stated the pea gravel is being tilled more often to keep it from compacting. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. 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 of child care requirements were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff hired on 8/23/21 had Basic Life Support training from the American Heart Association that expires 1/2026, which included CPR training and did not include First Aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 7/18/25 had 3.5 clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 9/1/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Item #1048 S.A. Jackson must complete a valid First Aid training on or before 9/1/25. We discussed where to find the approved agencies and approved course titles on what meets CPR and First Aid requirements on the Division's website. You stated you will contact the local Child Care Resource and Referral to set a training date within the next week or week and a half. *Item #1067 L. Zeller must receive an additional 1.5 hours of training within the required topic areas. In addition, a plan must be provided to state how the six (6) hours of training within the required topic areas will be completed within two (2) weeks for any future staff. You stated there were more hours that may have been completed and not documented or within other topic areas. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was eighty-eight percent (88%) prior to today’s visits. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. The following positions are part of the rated license evaluation: Administrator – R. Maietta stated she submitted her official transcripts to WORKS on ???. Based on the WORKS account, the official transcripts have not been received. Lead Teacher – L. Zeller meets the seven (7) point level for the lead teacher position by having a two year early childhood associate degree and more than two years of experience. Teacher – K. Reese undetermined point level for the teacher position by having the North Carolina Early Childhood Credential (NCECC) equivalent, and an additional twelve (12) semester hours in early childhood development, and eight (8) months of experience in child care based on working at the current child care facility. If there is additional experience, it will need to be documented on the application to be considered. One (1) education point may be earned under staff education if the administrator position has not had education evaluated by WORKS prior to the expiration of the temporary license. Program Standards – The ECERS-R assessment was conducted on 5/29/25. The assessment report was reviewed during the visit. The score for ECERS-R was 5.49. The ERS assessment score is valid for three years. The facility has earned seven (7) points for program points. The facility is required to meet enhanced space and highest enhanced (reduced) staff/child ratios to earn seven (7) points in program standards for the rated license. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility has been verified as earning one quality point by meeting the following: having a staff benefits package that offers the four benefits of paid leave for professional development, paid planning time, vacation, and sick time; and infrastructure of parent involvement to include quarterly newsletters and quarterly parent meetings. Points may change based on final review. Curriculum: The approved curriculum being implemented by the facility is Creative Curriculum for Preschoolers. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation and Review of Environment Rating Scale assessment report: ECERS-R Summary Report Scores Under Three (3) Points ECERS-R assessment- 5/22/25 - (Lauren Konz, Kristenna Reese) Total score: 5.49 Item 7 Indicator: 3.3 (see pages: 15-27 in the ECERS-3) Score: 2 pts This indicator is not a licensing requirement. It is best practice for children to use gross motor equipment that promotes at least seven (7) skills. Item 25 Indicator: 3.3 (see pages: 47-67 in the ECERS-3) Score: 2 pts. This indicator is not a licensing requirement. It is best practice for staff to engage positively with children to talk about numbers. Consultation: An annual compliance visit will be conducted no later than March 2026. You can obtain the annual fire inspection form and staff and training worksheet form under the provider tab, then provider documents and forms tab at https://ncchildcare.ncdhhs.gov/. Before your annual compliance visit is due, please complete the staff and training worksheet form and submit to your child care consultant. It is recommended that you submit the staff and training worksheet ninety days from your anticipated annual compliance due date. You must complete your annual fire inspection before 12/10/25. Submit the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. Sanitation inspections must be completed at least annually. All staff must have completed the required applicable Health and Safety Training requirements and have documentation on file for review within the first twelve (12) months of employment. In August, the Division will provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times to better understand the .3200 section of the new child care rules, pathways to the stars: • August 18th at 1:00pm • August 20th at 6:30pm Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Kaitlyn Marshall, child care consultant after the temporary license time period has ended. You can contact Ms. Marshall at (828) 713-8192 or at: kaitlyn.marshall@dhhs.nc.gov. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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 .2809 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 7 Completed Date: 8/18/2025 Age: From 4 To 4 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the third temporary time period visit and review the Environment Rating Scale (ERS) assessment. The program was closed from 7/19/25 through 8/17/25. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Building Inspection – 7/29/25 with ramp installed (original building inspection collected today) Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You stated you have notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. One (1) new staff file was reviewed. One (1) existing staff file had limited monitoring. I observed children during free play, routine care, morning snack, and outdoor play. The pea gravel at the swings measured six (6) inches or more in the fall zone areas during the visit. You stated the pea gravel is being tilled more often to keep it from compacting. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. 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 of child care requirements were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff hired on 8/23/21 had Basic Life Support training from the American Heart Association that expires 1/2026, which included CPR training and did not include First Aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 7/18/25 had 3.5 clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 9/1/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Item #1048 S.A. Jackson must complete a valid First Aid training on or before 9/1/25. We discussed where to find the approved agencies and approved course titles on what meets CPR and First Aid requirements on the Division's website. You stated you will contact the local Child Care Resource and Referral to set a training date within the next week or week and a half. *Item #1067 L. Zeller must receive an additional 1.5 hours of training within the required topic areas. In addition, a plan must be provided to state how the six (6) hours of training within the required topic areas will be completed within two (2) weeks for any future staff. You stated there were more hours that may have been completed and not documented or within other topic areas. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was eighty-eight percent (88%) prior to today’s visits. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. The following positions are part of the rated license evaluation: Administrator – R. Maietta stated she submitted her official transcripts to WORKS on ???. Based on the WORKS account, the official transcripts have not been received. Lead Teacher – L. Zeller meets the seven (7) point level for the lead teacher position by having a two year early childhood associate degree and more than two years of experience. Teacher – K. Reese undetermined point level for the teacher position by having the North Carolina Early Childhood Credential (NCECC) equivalent, and an additional twelve (12) semester hours in early childhood development, and eight (8) months of experience in child care based on working at the current child care facility. If there is additional experience, it will need to be documented on the application to be considered. One (1) education point may be earned under staff education if the administrator position has not had education evaluated by WORKS prior to the expiration of the temporary license. Program Standards – The ECERS-R assessment was conducted on 5/29/25. The assessment report was reviewed during the visit. The score for ECERS-R was 5.49. The ERS assessment score is valid for three years. The facility has earned seven (7) points for program points. The facility is required to meet enhanced space and highest enhanced (reduced) staff/child ratios to earn seven (7) points in program standards for the rated license. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility has been verified as earning one quality point by meeting the following: having a staff benefits package that offers the four benefits of paid leave for professional development, paid planning time, vacation, and sick time; and infrastructure of parent involvement to include quarterly newsletters and quarterly parent meetings. Points may change based on final review. Curriculum: The approved curriculum being implemented by the facility is Creative Curriculum for Preschoolers. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation and Review of Environment Rating Scale assessment report: ECERS-R Summary Report Scores Under Three (3) Points ECERS-R assessment- 5/22/25 - (Lauren Konz, Kristenna Reese) Total score: 5.49 Item 7 Indicator: 3.3 (see pages: 15-27 in the ECERS-3) Score: 2 pts This indicator is not a licensing requirement. It is best practice for children to use gross motor equipment that promotes at least seven (7) skills. Item 25 Indicator: 3.3 (see pages: 47-67 in the ECERS-3) Score: 2 pts. This indicator is not a licensing requirement. It is best practice for staff to engage positively with children to talk about numbers. Consultation: An annual compliance visit will be conducted no later than March 2026. You can obtain the annual fire inspection form and staff and training worksheet form under the provider tab, then provider documents and forms tab at https://ncchildcare.ncdhhs.gov/. Before your annual compliance visit is due, please complete the staff and training worksheet form and submit to your child care consultant. It is recommended that you submit the staff and training worksheet ninety days from your anticipated annual compliance due date. You must complete your annual fire inspection before 12/10/25. Submit the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. Sanitation inspections must be completed at least annually. All staff must have completed the required applicable Health and Safety Training requirements and have documentation on file for review within the first twelve (12) months of employment. In August, the Division will provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times to better understand the .3200 section of the new child care rules, pathways to the stars: • August 18th at 1:00pm • August 20th at 6:30pm Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Kaitlyn Marshall, child care consultant after the temporary license time period has ended. You can contact Ms. Marshall at (828) 713-8192 or at: kaitlyn.marshall@dhhs.nc.gov. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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 .2818 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 7 Completed Date: 8/18/2025 Age: From 4 To 4 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the third temporary time period visit and review the Environment Rating Scale (ERS) assessment. The program was closed from 7/19/25 through 8/17/25. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Building Inspection – 7/29/25 with ramp installed (original building inspection collected today) Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You stated you have notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. One (1) new staff file was reviewed. One (1) existing staff file had limited monitoring. I observed children during free play, routine care, morning snack, and outdoor play. The pea gravel at the swings measured six (6) inches or more in the fall zone areas during the visit. You stated the pea gravel is being tilled more often to keep it from compacting. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. 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 of child care requirements were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff hired on 8/23/21 had Basic Life Support training from the American Heart Association that expires 1/2026, which included CPR training and did not include First Aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 7/18/25 had 3.5 clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 9/1/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Item #1048 S.A. Jackson must complete a valid First Aid training on or before 9/1/25. We discussed where to find the approved agencies and approved course titles on what meets CPR and First Aid requirements on the Division's website. You stated you will contact the local Child Care Resource and Referral to set a training date within the next week or week and a half. *Item #1067 L. Zeller must receive an additional 1.5 hours of training within the required topic areas. In addition, a plan must be provided to state how the six (6) hours of training within the required topic areas will be completed within two (2) weeks for any future staff. You stated there were more hours that may have been completed and not documented or within other topic areas. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was eighty-eight percent (88%) prior to today’s visits. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. The following positions are part of the rated license evaluation: Administrator – R. Maietta stated she submitted her official transcripts to WORKS on ???. Based on the WORKS account, the official transcripts have not been received. Lead Teacher – L. Zeller meets the seven (7) point level for the lead teacher position by having a two year early childhood associate degree and more than two years of experience. Teacher – K. Reese undetermined point level for the teacher position by having the North Carolina Early Childhood Credential (NCECC) equivalent, and an additional twelve (12) semester hours in early childhood development, and eight (8) months of experience in child care based on working at the current child care facility. If there is additional experience, it will need to be documented on the application to be considered. One (1) education point may be earned under staff education if the administrator position has not had education evaluated by WORKS prior to the expiration of the temporary license. Program Standards – The ECERS-R assessment was conducted on 5/29/25. The assessment report was reviewed during the visit. The score for ECERS-R was 5.49. The ERS assessment score is valid for three years. The facility has earned seven (7) points for program points. The facility is required to meet enhanced space and highest enhanced (reduced) staff/child ratios to earn seven (7) points in program standards for the rated license. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility has been verified as earning one quality point by meeting the following: having a staff benefits package that offers the four benefits of paid leave for professional development, paid planning time, vacation, and sick time; and infrastructure of parent involvement to include quarterly newsletters and quarterly parent meetings. Points may change based on final review. Curriculum: The approved curriculum being implemented by the facility is Creative Curriculum for Preschoolers. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation and Review of Environment Rating Scale assessment report: ECERS-R Summary Report Scores Under Three (3) Points ECERS-R assessment- 5/22/25 - (Lauren Konz, Kristenna Reese) Total score: 5.49 Item 7 Indicator: 3.3 (see pages: 15-27 in the ECERS-3) Score: 2 pts This indicator is not a licensing requirement. It is best practice for children to use gross motor equipment that promotes at least seven (7) skills. Item 25 Indicator: 3.3 (see pages: 47-67 in the ECERS-3) Score: 2 pts. This indicator is not a licensing requirement. It is best practice for staff to engage positively with children to talk about numbers. Consultation: An annual compliance visit will be conducted no later than March 2026. You can obtain the annual fire inspection form and staff and training worksheet form under the provider tab, then provider documents and forms tab at https://ncchildcare.ncdhhs.gov/. Before your annual compliance visit is due, please complete the staff and training worksheet form and submit to your child care consultant. It is recommended that you submit the staff and training worksheet ninety days from your anticipated annual compliance due date. You must complete your annual fire inspection before 12/10/25. Submit the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. Sanitation inspections must be completed at least annually. All staff must have completed the required applicable Health and Safety Training requirements and have documentation on file for review within the first twelve (12) months of employment. In August, the Division will provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times to better understand the .3200 section of the new child care rules, pathways to the stars: • August 18th at 1:00pm • August 20th at 6:30pm Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Kaitlyn Marshall, child care consultant after the temporary license time period has ended. You can contact Ms. Marshall at (828) 713-8192 or at: kaitlyn.marshall@dhhs.nc.gov. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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 School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 8/18/2025 Number Present: 7 Completed Date: 8/18/2025 Age: From 4 To 4 Total Minutes: 140 Time In: 09:40 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the third temporary time period visit and review the Environment Rating Scale (ERS) assessment. The program was closed from 7/19/25 through 8/17/25. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Building Inspection – 7/29/25 with ramp installed (original building inspection collected today) Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You stated you have notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. One (1) new staff file was reviewed. One (1) existing staff file had limited monitoring. I observed children during free play, routine care, morning snack, and outdoor play. The pea gravel at the swings measured six (6) inches or more in the fall zone areas during the visit. You stated the pea gravel is being tilled more often to keep it from compacting. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. 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 of child care requirements were observed today: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff hired on 8/23/21 had Basic Life Support training from the American Heart Association that expires 1/2026, which included CPR training and did not include First Aid training. .1102(c) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff hired on 7/18/25 had 3.5 clock hours of training in required topic areas within the first two weeks of employment. .1101(a)(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 9/1/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Item #1048 S.A. Jackson must complete a valid First Aid training on or before 9/1/25. We discussed where to find the approved agencies and approved course titles on what meets CPR and First Aid requirements on the Division's website. You stated you will contact the local Child Care Resource and Referral to set a training date within the next week or week and a half. *Item #1067 L. Zeller must receive an additional 1.5 hours of training within the required topic areas. In addition, a plan must be provided to state how the six (6) hours of training within the required topic areas will be completed within two (2) weeks for any future staff. You stated there were more hours that may have been completed and not documented or within other topic areas. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was eighty-eight percent (88%) prior to today’s visits. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. The following positions are part of the rated license evaluation: Administrator – R. Maietta stated she submitted her official transcripts to WORKS on ???. Based on the WORKS account, the official transcripts have not been received. Lead Teacher – L. Zeller meets the seven (7) point level for the lead teacher position by having a two year early childhood associate degree and more than two years of experience. Teacher – K. Reese undetermined point level for the teacher position by having the North Carolina Early Childhood Credential (NCECC) equivalent, and an additional twelve (12) semester hours in early childhood development, and eight (8) months of experience in child care based on working at the current child care facility. If there is additional experience, it will need to be documented on the application to be considered. One (1) education point may be earned under staff education if the administrator position has not had education evaluated by WORKS prior to the expiration of the temporary license. Program Standards – The ECERS-R assessment was conducted on 5/29/25. The assessment report was reviewed during the visit. The score for ECERS-R was 5.49. The ERS assessment score is valid for three years. The facility has earned seven (7) points for program points. The facility is required to meet enhanced space and highest enhanced (reduced) staff/child ratios to earn seven (7) points in program standards for the rated license. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 Quality Point: The facility has been verified as earning one quality point by meeting the following: having a staff benefits package that offers the four benefits of paid leave for professional development, paid planning time, vacation, and sick time; and infrastructure of parent involvement to include quarterly newsletters and quarterly parent meetings. Points may change based on final review. Curriculum: The approved curriculum being implemented by the facility is Creative Curriculum for Preschoolers. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation and Review of Environment Rating Scale assessment report: ECERS-R Summary Report Scores Under Three (3) Points ECERS-R assessment- 5/22/25 - (Lauren Konz, Kristenna Reese) Total score: 5.49 Item 7 Indicator: 3.3 (see pages: 15-27 in the ECERS-3) Score: 2 pts This indicator is not a licensing requirement. It is best practice for children to use gross motor equipment that promotes at least seven (7) skills. Item 25 Indicator: 3.3 (see pages: 47-67 in the ECERS-3) Score: 2 pts. This indicator is not a licensing requirement. It is best practice for staff to engage positively with children to talk about numbers. Consultation: An annual compliance visit will be conducted no later than March 2026. You can obtain the annual fire inspection form and staff and training worksheet form under the provider tab, then provider documents and forms tab at https://ncchildcare.ncdhhs.gov/. Before your annual compliance visit is due, please complete the staff and training worksheet form and submit to your child care consultant. It is recommended that you submit the staff and training worksheet ninety days from your anticipated annual compliance due date. You must complete your annual fire inspection before 12/10/25. Submit the original completed and approved fire inspection form to your child care consultant within one week after it is completed. Call your licensing consultant with any questions you may have. Sanitation inspections must be completed at least annually. All staff must have completed the required applicable Health and Safety Training requirements and have documentation on file for review within the first twelve (12) months of employment. In August, the Division will provide a rule roll out module in the DCDEE e-learning Moodle platform and host webinars on the following dates and times to better understand the .3200 section of the new child care rules, pathways to the stars: • August 18th at 1:00pm • August 20th at 6:30pm Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Kaitlyn Marshall, child care consultant after the temporary license time period has ended. You can contact Ms. Marshall at (828) 713-8192 or at: kaitlyn.marshall@dhhs.nc.gov. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. 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 .0803 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 10 Completed Date: 5/27/2025 Age: From 3 To 5 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Three (3) children’s files were reviewed. There are five (5) staff and no new staff. Two (2) staff files were reviewed. R.M. and M.B.J. I observed children during free play, routine care, morning snack, and outdoor play. The snack today was apples and crackers. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Environment Rating Scale (ERS) assessment was completed on 5/22/25 and the summary report, once received, will be reviewed with you at the next visit. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 5/19/25 through 5/23/25. This is a repeat violation from 4/15/25. GS 110-91(12); .0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Five (5) incident reports from April 2025 were not filed in the respective child file; they were stored with the blank incident log. Two (2) incident reports completed on 4/21/25 did not have a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. There was a blank incident log in a notebook with five (5) incident reports from April 2025. .0802(g)(1-6) 1314 Emergency information did not name childs health care professional. One (1) of three (3) child files reviewed did not have the name of the child's health care professional. .0802(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. This is a repeat violation from 4/15/25. .0605(k)(1-4) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 6/10/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas where pea gravel could be raked into the fall zone. This is a repeat violation from 4/15/25. The letter of compliance from you dated 4/29/25 stated "The pea gravel on the playground has been replenished and is 6 inches in the fall zone." We discussed that the six inches of pea gravel must be maintained at all times in the fall zone. *Current Activity Plan Item #428 The activity plan must be current. This is a repeat violation from 4/15/25. We discussed that activity plans must be current at all times. *Incident Reports and Incident Log Items #852 and #853 - The five (5) incident reports must be filed in each child’s respective file. The three (3) incident reports were filed in the child files during the visit. The two (2) unsigned incident reports must be signed by the parent, then filed in the child's file. We discussed that you may have to email the incident report to the parent’s for signature since grandparents usually pick up the child. The five (5) incident reports were documented on the incident log during the visit; this violation was corrected during the visit. *Children’s Records Item #1314 – The one (1) child file application will need to be updated by the parent to include the name of a health care professional. We discussed this child will no longer be enrolled in the program as of next week and that you could include a future plan to state how children’s files will be reviewed to ensure that they include the name of a health care professional. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: Once the ERS assessment scores are provided, program points will be determined. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented at the facility is Creative Curriculum and will be reviewed during the last temporary time period visit. Consultation: *We discussed the ramp must be completed to meet building code requirements within the six month time frame of the temporary license or a Denial of a License may be issued. The original approved building inspection will be required on or before 7/28/25 to allow time to process the paperwork. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the following child care requirements for what is required for parent authorization for topical medication, such as sunscreen and bug spray. There is a sample form on the Division’s website that could be adopted or compared to what you have in Brightwheel for modification. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a)child’s name; (b)the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c)the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d)the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e)the signature of the parent; (f)the date the authorization was signed by the parent; and (g)the length of time the authorization is valid, if less than 12 months. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .2215 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 10 Completed Date: 5/27/2025 Age: From 3 To 5 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Three (3) children’s files were reviewed. There are five (5) staff and no new staff. Two (2) staff files were reviewed. R.M. and M.B.J. I observed children during free play, routine care, morning snack, and outdoor play. The snack today was apples and crackers. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Environment Rating Scale (ERS) assessment was completed on 5/22/25 and the summary report, once received, will be reviewed with you at the next visit. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 5/19/25 through 5/23/25. This is a repeat violation from 4/15/25. GS 110-91(12); .0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Five (5) incident reports from April 2025 were not filed in the respective child file; they were stored with the blank incident log. Two (2) incident reports completed on 4/21/25 did not have a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. There was a blank incident log in a notebook with five (5) incident reports from April 2025. .0802(g)(1-6) 1314 Emergency information did not name childs health care professional. One (1) of three (3) child files reviewed did not have the name of the child's health care professional. .0802(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. This is a repeat violation from 4/15/25. .0605(k)(1-4) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 6/10/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas where pea gravel could be raked into the fall zone. This is a repeat violation from 4/15/25. The letter of compliance from you dated 4/29/25 stated "The pea gravel on the playground has been replenished and is 6 inches in the fall zone." We discussed that the six inches of pea gravel must be maintained at all times in the fall zone. *Current Activity Plan Item #428 The activity plan must be current. This is a repeat violation from 4/15/25. We discussed that activity plans must be current at all times. *Incident Reports and Incident Log Items #852 and #853 - The five (5) incident reports must be filed in each child’s respective file. The three (3) incident reports were filed in the child files during the visit. The two (2) unsigned incident reports must be signed by the parent, then filed in the child's file. We discussed that you may have to email the incident report to the parent’s for signature since grandparents usually pick up the child. The five (5) incident reports were documented on the incident log during the visit; this violation was corrected during the visit. *Children’s Records Item #1314 – The one (1) child file application will need to be updated by the parent to include the name of a health care professional. We discussed this child will no longer be enrolled in the program as of next week and that you could include a future plan to state how children’s files will be reviewed to ensure that they include the name of a health care professional. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: Once the ERS assessment scores are provided, program points will be determined. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented at the facility is Creative Curriculum and will be reviewed during the last temporary time period visit. Consultation: *We discussed the ramp must be completed to meet building code requirements within the six month time frame of the temporary license or a Denial of a License may be issued. The original approved building inspection will be required on or before 7/28/25 to allow time to process the paperwork. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the following child care requirements for what is required for parent authorization for topical medication, such as sunscreen and bug spray. There is a sample form on the Division’s website that could be adopted or compared to what you have in Brightwheel for modification. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a)child’s name; (b)the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c)the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d)the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e)the signature of the parent; (f)the date the authorization was signed by the parent; and (g)the length of time the authorization is valid, if less than 12 months. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 10 Completed Date: 5/27/2025 Age: From 3 To 5 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Three (3) children’s files were reviewed. There are five (5) staff and no new staff. Two (2) staff files were reviewed. R.M. and M.B.J. I observed children during free play, routine care, morning snack, and outdoor play. The snack today was apples and crackers. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Environment Rating Scale (ERS) assessment was completed on 5/22/25 and the summary report, once received, will be reviewed with you at the next visit. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 5/19/25 through 5/23/25. This is a repeat violation from 4/15/25. GS 110-91(12); .0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Five (5) incident reports from April 2025 were not filed in the respective child file; they were stored with the blank incident log. Two (2) incident reports completed on 4/21/25 did not have a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. There was a blank incident log in a notebook with five (5) incident reports from April 2025. .0802(g)(1-6) 1314 Emergency information did not name childs health care professional. One (1) of three (3) child files reviewed did not have the name of the child's health care professional. .0802(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. This is a repeat violation from 4/15/25. .0605(k)(1-4) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 6/10/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas where pea gravel could be raked into the fall zone. This is a repeat violation from 4/15/25. The letter of compliance from you dated 4/29/25 stated "The pea gravel on the playground has been replenished and is 6 inches in the fall zone." We discussed that the six inches of pea gravel must be maintained at all times in the fall zone. *Current Activity Plan Item #428 The activity plan must be current. This is a repeat violation from 4/15/25. We discussed that activity plans must be current at all times. *Incident Reports and Incident Log Items #852 and #853 - The five (5) incident reports must be filed in each child’s respective file. The three (3) incident reports were filed in the child files during the visit. The two (2) unsigned incident reports must be signed by the parent, then filed in the child's file. We discussed that you may have to email the incident report to the parent’s for signature since grandparents usually pick up the child. The five (5) incident reports were documented on the incident log during the visit; this violation was corrected during the visit. *Children’s Records Item #1314 – The one (1) child file application will need to be updated by the parent to include the name of a health care professional. We discussed this child will no longer be enrolled in the program as of next week and that you could include a future plan to state how children’s files will be reviewed to ensure that they include the name of a health care professional. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: Once the ERS assessment scores are provided, program points will be determined. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented at the facility is Creative Curriculum and will be reviewed during the last temporary time period visit. Consultation: *We discussed the ramp must be completed to meet building code requirements within the six month time frame of the temporary license or a Denial of a License may be issued. The original approved building inspection will be required on or before 7/28/25 to allow time to process the paperwork. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the following child care requirements for what is required for parent authorization for topical medication, such as sunscreen and bug spray. There is a sample form on the Division’s website that could be adopted or compared to what you have in Brightwheel for modification. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a)child’s name; (b)the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c)the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d)the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e)the signature of the parent; (f)the date the authorization was signed by the parent; and (g)the length of time the authorization is valid, if less than 12 months. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 10 Completed Date: 5/27/2025 Age: From 3 To 5 Total Minutes: 140 Time In: 10:10 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. You, Rachel Maietta, Administrator, were on-site during the visit today. Currently this center operates with a Temporary License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to twelve-years-old. Restrictions are daytime care only, no cooking allowed in building, and three staff per septic system restrictions. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Three (3) children’s files were reviewed. There are five (5) staff and no new staff. Two (2) staff files were reviewed. R.M. and M.B.J. I observed children during free play, routine care, morning snack, and outdoor play. The snack today was apples and crackers. The facility does not provide transportation, and children do not participate in aquatic activities. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Environment Rating Scale (ERS) assessment was completed on 5/22/25 and the summary report, once received, will be reviewed with you at the next visit. 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 of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated 5/19/25 through 5/23/25. This is a repeat violation from 4/15/25. GS 110-91(12); .0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Five (5) incident reports from April 2025 were not filed in the respective child file; they were stored with the blank incident log. Two (2) incident reports completed on 4/21/25 did not have a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. There was a blank incident log in a notebook with five (5) incident reports from April 2025. .0802(g)(1-6) 1314 Emergency information did not name childs health care professional. One (1) of three (3) child files reviewed did not have the name of the child's health care professional. .0802(c)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. This is a repeat violation from 4/15/25. .0605(k)(1-4) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 6/10/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas where pea gravel could be raked into the fall zone. This is a repeat violation from 4/15/25. The letter of compliance from you dated 4/29/25 stated "The pea gravel on the playground has been replenished and is 6 inches in the fall zone." We discussed that the six inches of pea gravel must be maintained at all times in the fall zone. *Current Activity Plan Item #428 The activity plan must be current. This is a repeat violation from 4/15/25. We discussed that activity plans must be current at all times. *Incident Reports and Incident Log Items #852 and #853 - The five (5) incident reports must be filed in each child’s respective file. The three (3) incident reports were filed in the child files during the visit. The two (2) unsigned incident reports must be signed by the parent, then filed in the child's file. We discussed that you may have to email the incident report to the parent’s for signature since grandparents usually pick up the child. The five (5) incident reports were documented on the incident log during the visit; this violation was corrected during the visit. *Children’s Records Item #1314 – The one (1) child file application will need to be updated by the parent to include the name of a health care professional. We discussed this child will no longer be enrolled in the program as of next week and that you could include a future plan to state how children’s files will be reviewed to ensure that they include the name of a health care professional. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: Once the ERS assessment scores are provided, program points will be determined. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum implemented at the facility is Creative Curriculum and will be reviewed during the last temporary time period visit. Consultation: *We discussed the ramp must be completed to meet building code requirements within the six month time frame of the temporary license or a Denial of a License may be issued. The original approved building inspection will be required on or before 7/28/25 to allow time to process the paperwork. 10A NCAC 09 .2215 DENIAL OF A LICENSE (a) The Secretary may deny an application for a child care facility license or the issuance of any permit to operate a child care facility under the following circumstances: (8) based on the operator’s non-compliance with the requirements of G.S. 110, Article 7, 10A NCAC 10, or this Chapter, during a temporary licensure period; We discussed the following child care requirements for what is required for parent authorization for topical medication, such as sunscreen and bug spray. There is a sample form on the Division’s website that could be adopted or compared to what you have in Brightwheel for modification. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the- counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a)child’s name; (b)the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c)the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d)the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e)the signature of the parent; (f)the date the authorization was signed by the parent; and (g)the length of time the authorization is valid, if less than 12 months. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0901 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0302 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0801 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0803 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .0901 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .1005 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .1401 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .1402 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 .2204 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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 School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-106 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Mountain Breeze School Facility ID: 57000077 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 9 Completed Date: 4/15/2025 Age: From 3 To 6 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. Kaitlyn Marshall, Child Care Consultant, arrived on-site at approximately 12:15pm and assisted with the visit. You, Lauren Konz, Lead Teacher, assisted with the visit and were able to answer and ask questions. Rachel Maietta, Administrator was not on-site during the visit today. Currently this center operates with a Provisional License, issued on 3/21/25, to operate first shift with a capacity of fourteen (14) children. The facility is licensed to provide care to children ages three to five-years-old. Restrictions are daytime care only and three staff per septic system restrictions. You stated the facility began operation with children on 4/1/25. The Secretary of State website was checked today, and the owner, Mountain Breeze School, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Approved Fire Inspection – 12/10/24, Daytime Care Only Superior Sanitation Inspection – pre-licensing inspection was 1/24/25 with four, (4) Demerits for a Superior classification. You will need to notify Madison County Environmental Health that the facility is in operation with children and will need a separate sanitation inspection for 69 Katuah Drive, Marshall. Four (4) children’s files were reviewed. There are five (5) staff. Three (3) staff files were reviewed. I observed children during free play, routine care, morning snack, transition on the front porch to a walk off-premises, outdoor play, and lunch. Staff engaged with children throughout the day, were attentive to children's needs, and read books to children. Morning snack was oranges and cheddar puffs. Lunch was bean or cheese quesadilla, red and yellow peppers, apples, and milk The facility does not provide transportation, and children do not participate in aquatic activities. The Corrective Action Plan Items from the Administrative Action issued Mountain Breeze School, were also reviewed with Ms. Konz and monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Rachel Maietta, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated December 10, 2024. The equivalent protection plan required by the building inspector remains in effect. We reviewed that a new or updated Building Inspection must be submitted to Ms. Houck once all the work is complete. The facility must transition to a three-star license or higher to serve children on subsidy vouchers. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. 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 of child care requirements were observed today: Violation Number Comment Rule 107 The center did not comply with the permit restrictions. There was one child in attendance today that was six years old. GS 110-91; GS 110-106 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One out of nine children in attendance did not have a documented time of arrival at the facility today. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan was not dated. GS 110-91(12); .0508(a) 453 The schedule of off premise activities was not current and/or did not include required information. A schedule of off-premise activities, including the 40 minute walk off-premises today, was not posted for parents to view and was not provided to parents. .1005(b)(5)(A-E) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Two (2) of nine (9) children were not served milk during lunch. 10A NCAC 09 .0901(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted was not dated. 10A NCAC 09 .0901(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of pea gravel in front of and in back of the swings measured between two and five inches. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One staff last completed health and safety trainings on 3/20/19 and has not completed two required topics of health and safety trainings within five years. .1103(b) All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement on or before 4/29/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Achieving Compliance – rule references are noted in the cited violations *Permit Restrictions – Age Range Item #107 - The age range for the facility is three through five years. The child’s birthdate was 10/4/18. The child was on spring break and the child’s mom was working at the facility today. No children outside of the permitted age range can attend the facility. The operational policies also state that the facility accepts children ages three through five years of age. A follow-up visit may be conducted to verify compliance. *Outdoor Safety Item #1867 – The pea gravel must measure six inches for ten feet, six inches in front of the swing and for ten feet, six inches behind the swings due to the critical height of the swings being five feet, three inches. The requirement of six inches pea gravel depth is in place for a safe outdoor environment and safe protection for children in case of falls from the swings. There are some areas at the far edge of the barriers where pea gravel could be raked into the fall zone. *Health and Safety Training Item #1899 – L. Konz is missing the two health and safety training topics; administration of medication with parental consent and recognizing and reporting child abuse, child neglect and child maltreatment. The two trainings must be completed on or before 4/29/25. We discussed where to locate the 2025 administration of medication training on DCDEE Moodle. *Arrival and Departure Documentation for Children Item #125 - All children in attendance must have documented arrival and departure times. The facility uses Bright Wheel to document arrival and departure times. The six year old child in attendance today was not in the Bright Wheel system. It is recommended to also use a paper system to document children's arrival and departure times. Knowing which children are in care is important for the safety of the children. *Off-Premise Activity Schedule Item #453 - The off-premise activity schedule must be posted for view by parents and a copy provided to parents. Parents must know where their child is at all times. *Meal Patterns and Menu Item #501 - All children in attendance are required to be served all required components, including fluid milk. The children were asked whether or not they wanted milk. There were two children that stated they did not want milk and were not served milk. All children had water bottles to drink water at lunch. Item #525 - The menu with all specific foods that will be served must be dated. The menu is labeled as a "sample menu." *Current Activity Plan Item #428 – The activity plan needs to include a date to know if it is current. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff will need to have education submitted and evaluated by WORKS by 7/28/25 for staff education points. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. Both forms were emailed to you during the visit. Quality Point: A quality point has not been determined. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Consultation: A fire drill will need to be practiced this month and a playground inspection will need to be completed this month since the facility began operation on 4/1/25. The front porch was being used to have children wait for approximately fifteen (15) minutes while transitioning to the outdoor walk. If you request to have the front porch added as an indoor space, a thirty day notice is required. The front porch would be considered an extension of indoor space and could not be used for gross motor activities. The front porch is not approved space at this time and can only be used to enter and exit the child care facility. We discussed that when the medical action plan for the Epi Pens are signed by the parent to give parent authorization, then authorization is valid for one year. If only the medication authorization form is filled out and the medical action plan is not signed by the parent, then the authorization is good for six months. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b)For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a)the child's name; (b)the subject medical conditions or allergic reactions; (c)the names of the authorized over-the-counter medications; (d)the criteria for the administration of the medication; (e)the amount and frequency of the dosages; (f)the manner in which the medication shall be administered; (g)the signature of the parent; (h)the date the authorization was signed by the parent; and (i)the length of time the authorization is valid, if less than six months. We discussed that parents must know where their child is at all times. It is recommended to use the DCDEE Off-Premise Activity form to have parent permission to go on walks away from the licensed space. Currently, the facility has permission from parents to be outside the fenced area. Walks away from the licensed space are about forty (40) minutes and require more than permission to be outside the fenced area. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a)Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (3)Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4)Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. We discussed the menu is required to be specific and detail which fruit and vegetables are provided. If there is a substitution, then it can be documented on the menu prior to serving the food to children. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. (b)When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis 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