BH Tharrington Preschool

10A NCAC 09 .2902 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 52 Completed Date: 2/24/2026 Age: From 3 To 5 Total Minutes: 320 Time In: 09:15 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 401 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted with Melinda Lescar, Child Care Consultant, Chelsy Payne, Principal, and Beth Welch, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on February 23, 2026, and Mount Airy City Schools was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play activities, outdoor play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on March 7, 2025. A sanitation inspection was completed July 10, 2025with a Superior classification. The last fire inspection was conducted on September 23, 2025. Program records and required postings were monitored. A fire drill was conducted on January 6, 2026. All locked down drills were current and documented in all classrooms. The last lock down drill was completed on December 1, 2025. An outdoor inspection was documented on February 22, 2026. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen (16) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background checks on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 401 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over seventeen (17) years’ experience. The program operates six and half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Beth Welch, Ashley Moser, Brittany Hawks and assistant teachers, Destiny Dowell, and Amy Heath, Stephanie Hernandez and Sherry Brown. A selection of files was monitored for completed health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the Dial screenings on (date) for all children and as new children are enrolled. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 18, 2025. The classroom operates from 7:15a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by sending family activities home to complete. The environment rating scale score received on March 19, 2019 was 5.70. The following violations were cited during today’s visit: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility's roster did not have three (3) of the current staff members linked. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 10, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item #1805 All staff were not linked to facility roster. It is important to update the roster within five (5) days when there are changes in staff in your facility to ensure compliance. A center roster has not been created in ABCMS. The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS is an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Information/Consultation: The Pathway to the Stars conversation took place today with Principal, Chelsy Payne. Pathway 1: Program Assessment and Pathway 2: Classroom Instructional Quality were reviewed and the requirements for each Pathway were discussed. The application process and all forms were shared as well as DCDEE’s website to assist in learning more about the Pathway. Ms. Payne stated she did not know of any support in any area at this time. They are planning to apply for a rated license by August 2026. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .3009 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 52 Completed Date: 2/24/2026 Age: From 3 To 5 Total Minutes: 320 Time In: 09:15 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 401 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted with Melinda Lescar, Child Care Consultant, Chelsy Payne, Principal, and Beth Welch, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on February 23, 2026, and Mount Airy City Schools was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play activities, outdoor play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on March 7, 2025. A sanitation inspection was completed July 10, 2025with a Superior classification. The last fire inspection was conducted on September 23, 2025. Program records and required postings were monitored. A fire drill was conducted on January 6, 2026. All locked down drills were current and documented in all classrooms. The last lock down drill was completed on December 1, 2025. An outdoor inspection was documented on February 22, 2026. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen (16) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background checks on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 401 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over seventeen (17) years’ experience. The program operates six and half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Beth Welch, Ashley Moser, Brittany Hawks and assistant teachers, Destiny Dowell, and Amy Heath, Stephanie Hernandez and Sherry Brown. A selection of files was monitored for completed health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the Dial screenings on (date) for all children and as new children are enrolled. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 18, 2025. The classroom operates from 7:15a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by sending family activities home to complete. The environment rating scale score received on March 19, 2019 was 5.70. The following violations were cited during today’s visit: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility's roster did not have three (3) of the current staff members linked. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 10, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item #1805 All staff were not linked to facility roster. It is important to update the roster within five (5) days when there are changes in staff in your facility to ensure compliance. A center roster has not been created in ABCMS. The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS is an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Information/Consultation: The Pathway to the Stars conversation took place today with Principal, Chelsy Payne. Pathway 1: Program Assessment and Pathway 2: Classroom Instructional Quality were reviewed and the requirements for each Pathway were discussed. The application process and all forms were shared as well as DCDEE’s website to assist in learning more about the Pathway. Ms. Payne stated she did not know of any support in any area at this time. They are planning to apply for a rated license by August 2026. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 52 Completed Date: 2/24/2026 Age: From 3 To 5 Total Minutes: 320 Time In: 09:15 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 401 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted with Melinda Lescar, Child Care Consultant, Chelsy Payne, Principal, and Beth Welch, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on February 23, 2026, and Mount Airy City Schools was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play activities, outdoor play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on March 7, 2025. A sanitation inspection was completed July 10, 2025with a Superior classification. The last fire inspection was conducted on September 23, 2025. Program records and required postings were monitored. A fire drill was conducted on January 6, 2026. All locked down drills were current and documented in all classrooms. The last lock down drill was completed on December 1, 2025. An outdoor inspection was documented on February 22, 2026. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen (16) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background checks on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 401 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over seventeen (17) years’ experience. The program operates six and half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Beth Welch, Ashley Moser, Brittany Hawks and assistant teachers, Destiny Dowell, and Amy Heath, Stephanie Hernandez and Sherry Brown. A selection of files was monitored for completed health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the Dial screenings on (date) for all children and as new children are enrolled. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 18, 2025. The classroom operates from 7:15a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by sending family activities home to complete. The environment rating scale score received on March 19, 2019 was 5.70. The following violations were cited during today’s visit: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility's roster did not have three (3) of the current staff members linked. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 10, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item #1805 All staff were not linked to facility roster. It is important to update the roster within five (5) days when there are changes in staff in your facility to ensure compliance. A center roster has not been created in ABCMS. The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS is an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Information/Consultation: The Pathway to the Stars conversation took place today with Principal, Chelsy Payne. Pathway 1: Program Assessment and Pathway 2: Classroom Instructional Quality were reviewed and the requirements for each Pathway were discussed. The application process and all forms were shared as well as DCDEE’s website to assist in learning more about the Pathway. Ms. Payne stated she did not know of any support in any area at this time. They are planning to apply for a rated license by August 2026. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 52 Completed Date: 2/24/2026 Age: From 3 To 5 Total Minutes: 320 Time In: 09:15 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 401 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted with Melinda Lescar, Child Care Consultant, Chelsy Payne, Principal, and Beth Welch, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on February 23, 2026, and Mount Airy City Schools was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play activities, outdoor play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on March 7, 2025. A sanitation inspection was completed July 10, 2025with a Superior classification. The last fire inspection was conducted on September 23, 2025. Program records and required postings were monitored. A fire drill was conducted on January 6, 2026. All locked down drills were current and documented in all classrooms. The last lock down drill was completed on December 1, 2025. An outdoor inspection was documented on February 22, 2026. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen (16) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background checks on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 401 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have a Level III NCECAC with over seventeen (17) years’ experience. The program operates six and half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Beth Welch, Ashley Moser, Brittany Hawks and assistant teachers, Destiny Dowell, and Amy Heath, Stephanie Hernandez and Sherry Brown. A selection of files was monitored for completed health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the Dial screenings on (date) for all children and as new children are enrolled. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 18, 2025. The classroom operates from 7:15a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by sending family activities home to complete. The environment rating scale score received on March 19, 2019 was 5.70. The following violations were cited during today’s visit: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility's roster did not have three (3) of the current staff members linked. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 10, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item #1805 All staff were not linked to facility roster. It is important to update the roster within five (5) days when there are changes in staff in your facility to ensure compliance. A center roster has not been created in ABCMS. The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS is an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Additional Information/Consultation: The Pathway to the Stars conversation took place today with Principal, Chelsy Payne. Pathway 1: Program Assessment and Pathway 2: Classroom Instructional Quality were reviewed and the requirements for each Pathway were discussed. The application process and all forms were shared as well as DCDEE’s website to assist in learning more about the Pathway. Ms. Payne stated she did not know of any support in any area at this time. They are planning to apply for a rated license by August 2026. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 54 Completed Date: 3/7/2025 Age: From 3 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 202 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Caitlin Edwards, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on May 23, 2024. A sanitation inspection was completed October 3, 2024, with a Superior classification. The last fire inspection was conducted March 27, 2024. Program records and required postings were monitored. A fire drill was conducted on February 27, 2025. A shelter in place drill was documented on December 12, 2024. An outdoor inspection was documented on February 18, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen children. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have Level III credentials. The program operates six and a half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Ashley Moser, Beth Welch, and Abby Thompson and assistant teachers, Amy Heath, Sharon Sechrist, and Stephanie Hernandez. A selection of files was monitored for complete health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the process of the Dial-4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 17, 2024. The classroom operates from 7:15 a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4 there was not an available lesson plan for review. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2 an electrical power box was missing outlet covers. This was corrected during the visit. In Space 1 an electric power strip was missing two outlet covers. The strip was partly behind a cabinet, however the two uncovered outlets were accessible to the children. 10A NCAC 09 .0604(c) 1043 All staff records, except financial records, were not made available for review. Three substitutes that were working in the classrooms did not have files available for review. G.S. 110-91( 9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two Staff members did not have the Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Recognizing and responding training is crucial because it equips individuals, particularly those working with vulnerable populations like children, with the knowledge and skills to identify potential signs of abuse or neglect, understand their legal responsibility to report suspicions, and take appropriate actions to protect individuals at risk, ultimately preventing further harm and promoting safety and well-being; it empowers individuals to intervene early and effectively when concerns arise. You can complete this training at this link https://www.preventchildabusenc.org/ • Substitute staff should have their file readily available for review by DCDEE staff. If substitutes travel from different schools, it is recommended that they carry their folders or have separate folders at the various locations where they are substituting. • Please submit your Staff and Training Worksheet to me at turkessha.casterlow@dhhs.nc.gov by March 19, 2025. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The harmless hold was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3, also known as the "3s” will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .2902 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 54 Completed Date: 3/7/2025 Age: From 3 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 202 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Caitlin Edwards, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on May 23, 2024. A sanitation inspection was completed October 3, 2024, with a Superior classification. The last fire inspection was conducted March 27, 2024. Program records and required postings were monitored. A fire drill was conducted on February 27, 2025. A shelter in place drill was documented on December 12, 2024. An outdoor inspection was documented on February 18, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen children. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have Level III credentials. The program operates six and a half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Ashley Moser, Beth Welch, and Abby Thompson and assistant teachers, Amy Heath, Sharon Sechrist, and Stephanie Hernandez. A selection of files was monitored for complete health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the process of the Dial-4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 17, 2024. The classroom operates from 7:15 a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4 there was not an available lesson plan for review. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2 an electrical power box was missing outlet covers. This was corrected during the visit. In Space 1 an electric power strip was missing two outlet covers. The strip was partly behind a cabinet, however the two uncovered outlets were accessible to the children. 10A NCAC 09 .0604(c) 1043 All staff records, except financial records, were not made available for review. Three substitutes that were working in the classrooms did not have files available for review. G.S. 110-91( 9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two Staff members did not have the Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Recognizing and responding training is crucial because it equips individuals, particularly those working with vulnerable populations like children, with the knowledge and skills to identify potential signs of abuse or neglect, understand their legal responsibility to report suspicions, and take appropriate actions to protect individuals at risk, ultimately preventing further harm and promoting safety and well-being; it empowers individuals to intervene early and effectively when concerns arise. You can complete this training at this link https://www.preventchildabusenc.org/ • Substitute staff should have their file readily available for review by DCDEE staff. If substitutes travel from different schools, it is recommended that they carry their folders or have separate folders at the various locations where they are substituting. • Please submit your Staff and Training Worksheet to me at turkessha.casterlow@dhhs.nc.gov by March 19, 2025. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The harmless hold was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3, also known as the "3s” will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .3009 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 54 Completed Date: 3/7/2025 Age: From 3 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 202 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Caitlin Edwards, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on May 23, 2024. A sanitation inspection was completed October 3, 2024, with a Superior classification. The last fire inspection was conducted March 27, 2024. Program records and required postings were monitored. A fire drill was conducted on February 27, 2025. A shelter in place drill was documented on December 12, 2024. An outdoor inspection was documented on February 18, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen children. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have Level III credentials. The program operates six and a half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Ashley Moser, Beth Welch, and Abby Thompson and assistant teachers, Amy Heath, Sharon Sechrist, and Stephanie Hernandez. A selection of files was monitored for complete health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the process of the Dial-4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 17, 2024. The classroom operates from 7:15 a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4 there was not an available lesson plan for review. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2 an electrical power box was missing outlet covers. This was corrected during the visit. In Space 1 an electric power strip was missing two outlet covers. The strip was partly behind a cabinet, however the two uncovered outlets were accessible to the children. 10A NCAC 09 .0604(c) 1043 All staff records, except financial records, were not made available for review. Three substitutes that were working in the classrooms did not have files available for review. G.S. 110-91( 9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two Staff members did not have the Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Recognizing and responding training is crucial because it equips individuals, particularly those working with vulnerable populations like children, with the knowledge and skills to identify potential signs of abuse or neglect, understand their legal responsibility to report suspicions, and take appropriate actions to protect individuals at risk, ultimately preventing further harm and promoting safety and well-being; it empowers individuals to intervene early and effectively when concerns arise. You can complete this training at this link https://www.preventchildabusenc.org/ • Substitute staff should have their file readily available for review by DCDEE staff. If substitutes travel from different schools, it is recommended that they carry their folders or have separate folders at the various locations where they are substituting. • Please submit your Staff and Training Worksheet to me at turkessha.casterlow@dhhs.nc.gov by March 19, 2025. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The harmless hold was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3, also known as the "3s” will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 54 Completed Date: 3/7/2025 Age: From 3 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 202 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Caitlin Edwards, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on May 23, 2024. A sanitation inspection was completed October 3, 2024, with a Superior classification. The last fire inspection was conducted March 27, 2024. Program records and required postings were monitored. A fire drill was conducted on February 27, 2025. A shelter in place drill was documented on December 12, 2024. An outdoor inspection was documented on February 18, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen children. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have Level III credentials. The program operates six and a half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Ashley Moser, Beth Welch, and Abby Thompson and assistant teachers, Amy Heath, Sharon Sechrist, and Stephanie Hernandez. A selection of files was monitored for complete health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the process of the Dial-4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 17, 2024. The classroom operates from 7:15 a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4 there was not an available lesson plan for review. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2 an electrical power box was missing outlet covers. This was corrected during the visit. In Space 1 an electric power strip was missing two outlet covers. The strip was partly behind a cabinet, however the two uncovered outlets were accessible to the children. 10A NCAC 09 .0604(c) 1043 All staff records, except financial records, were not made available for review. Three substitutes that were working in the classrooms did not have files available for review. G.S. 110-91( 9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two Staff members did not have the Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Recognizing and responding training is crucial because it equips individuals, particularly those working with vulnerable populations like children, with the knowledge and skills to identify potential signs of abuse or neglect, understand their legal responsibility to report suspicions, and take appropriate actions to protect individuals at risk, ultimately preventing further harm and promoting safety and well-being; it empowers individuals to intervene early and effectively when concerns arise. You can complete this training at this link https://www.preventchildabusenc.org/ • Substitute staff should have their file readily available for review by DCDEE staff. If substitutes travel from different schools, it is recommended that they carry their folders or have separate folders at the various locations where they are substituting. • Please submit your Staff and Training Worksheet to me at turkessha.casterlow@dhhs.nc.gov by March 19, 2025. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The harmless hold was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3, also known as the "3s” will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 54 Completed Date: 3/7/2025 Age: From 3 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 202 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Caitlin Edwards, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on May 23, 2024. A sanitation inspection was completed October 3, 2024, with a Superior classification. The last fire inspection was conducted March 27, 2024. Program records and required postings were monitored. A fire drill was conducted on February 27, 2025. A shelter in place drill was documented on December 12, 2024. An outdoor inspection was documented on February 18, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen children. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have Level III credentials. The program operates six and a half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Ashley Moser, Beth Welch, and Abby Thompson and assistant teachers, Amy Heath, Sharon Sechrist, and Stephanie Hernandez. A selection of files was monitored for complete health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the process of the Dial-4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 17, 2024. The classroom operates from 7:15 a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4 there was not an available lesson plan for review. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2 an electrical power box was missing outlet covers. This was corrected during the visit. In Space 1 an electric power strip was missing two outlet covers. The strip was partly behind a cabinet, however the two uncovered outlets were accessible to the children. 10A NCAC 09 .0604(c) 1043 All staff records, except financial records, were not made available for review. Three substitutes that were working in the classrooms did not have files available for review. G.S. 110-91( 9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two Staff members did not have the Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Recognizing and responding training is crucial because it equips individuals, particularly those working with vulnerable populations like children, with the knowledge and skills to identify potential signs of abuse or neglect, understand their legal responsibility to report suspicions, and take appropriate actions to protect individuals at risk, ultimately preventing further harm and promoting safety and well-being; it empowers individuals to intervene early and effectively when concerns arise. You can complete this training at this link https://www.preventchildabusenc.org/ • Substitute staff should have their file readily available for review by DCDEE staff. If substitutes travel from different schools, it is recommended that they carry their folders or have separate folders at the various locations where they are substituting. • Please submit your Staff and Training Worksheet to me at turkessha.casterlow@dhhs.nc.gov by March 19, 2025. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The harmless hold was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3, also known as the "3s” will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 54 Completed Date: 3/7/2025 Age: From 3 To 5 Total Minutes: 285 Time In: 10:15 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 202 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 203 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Caitlin Edwards, Lead Teacher. Your program currently operates with a Five Star license. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, outside play, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on May 23, 2024. A sanitation inspection was completed October 3, 2024, with a Superior classification. The last fire inspection was conducted March 27, 2024. Program records and required postings were monitored. A fire drill was conducted on February 27, 2025. A shelter in place drill was documented on December 12, 2024. An outdoor inspection was documented on February 18, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. You stated that you do provide transportation in the morning and afternoon for sixteen children. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and both administrators have Level III credentials. The program operates six and a half hours per day, Monday through Friday, nine months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirm this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Ashley Moser, Beth Welch, and Abby Thompson and assistant teachers, Amy Heath, Sharon Sechrist, and Stephanie Hernandez. A selection of files was monitored for complete health assessments and developmental screenings. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. You stated you completed the process of the Dial-4 screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was August 17, 2024. The classroom operates from 7:15 a.m. to 2:50 p.m. Parent conferences are held two times per year. You stated that you use Ready Rosie and Canvas to communicate with parents. In addition, a communication folder is sent home to the parents which includes any information about the child’s day and any reminders. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 4 there was not an available lesson plan for review. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 2 an electrical power box was missing outlet covers. This was corrected during the visit. In Space 1 an electric power strip was missing two outlet covers. The strip was partly behind a cabinet, however the two uncovered outlets were accessible to the children. 10A NCAC 09 .0604(c) 1043 All staff records, except financial records, were not made available for review. Three substitutes that were working in the classrooms did not have files available for review. G.S. 110-91( 9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two Staff members did not have the Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before March 21, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Recognizing and responding training is crucial because it equips individuals, particularly those working with vulnerable populations like children, with the knowledge and skills to identify potential signs of abuse or neglect, understand their legal responsibility to report suspicions, and take appropriate actions to protect individuals at risk, ultimately preventing further harm and promoting safety and well-being; it empowers individuals to intervene early and effectively when concerns arise. You can complete this training at this link https://www.preventchildabusenc.org/ • Substitute staff should have their file readily available for review by DCDEE staff. If substitutes travel from different schools, it is recommended that they carry their folders or have separate folders at the various locations where they are substituting. • Please submit your Staff and Training Worksheet to me at turkessha.casterlow@dhhs.nc.gov by March 19, 2025. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The harmless hold was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3, also known as the "3s” will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: PAMELA HAUSER Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 56 Completed Date: 11/12/2024 Age: From 3 To 5 Total Minutes: 310 Time In: 09:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Pam Hauser, Licensing Supervisor with Ms. Welch, Ms. Thomspon, Ms. Moser and Ms. Edwards, lead teachers. Your program currently operates with a Five-star license effective August 23, 2024. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaged in developmentally appropriate activities, outdoor play and lunch during today’s visit. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded October 8, 2024. A fire drill was recorded October 24, 2024. A lock down drill for the facility was recorded 10/8/2024. The most recent fire inspection was on March 19, 2024. I observed a sanitation inspection was last conducted on October 3, 2024, earning a superior classification. You stated that you do provide transportation in the NC Pre-K and Developmental Day Classrooms. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. The following violation was cited during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three new staff hired August 5, 2024, had not completed the training within the first 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before November 26, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to pamela.hauser@dhhs.nc.gov or mail two copies of the letter to: Pam Hauser P.O. Box 279 King, NC 27021 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: There were 3 new staff hired August 2024, who had not completed the Recognizing and Responding training through PCAN Prevent Child Abuse Now. The school has training regarding preventing child abuse however the first time completing must be through PCAN. Additional Information/Consultation: During today’s visit we discussed staff child ratio for meets enhanced standards minus one in the preschool classroom, 203. Staff/Child ratios must be maintained at all times including transitioning to the restroom, etc. You must be able to see and hear children at all times to be able to render immediate assistance if needed to maintain adequate supervision. You may have one teacher in the bathroom and one teacher in the hallway engaging children in activities if necessary or take nine children to the restroom at a time and the remainder of children can wash their hands in the classroom with the other teacher. I encourage you to do what is best for your classrooms while maintaining 1:9 staff/child ratio and supervision. Transitions can be difficult however with planned activities during this transition can help in a much smoother transition. When children 0-5 are eating and/or drinking you must be able to hear and see at all times. During today’s visit we discussed the opt out for children enrolled in the program. When children bring their own food for meals and snacks to the program, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the operator must provide the additional food necessary to meet those requirements unless the child’s parent or guardian opts out of the supplemental food provided by the operator as set forth in G.S. 110-91(2) h.1. A statement acknowledging the parental decision to opt out of the supplemental food provided by the operator signed by the child’s parent or guardian shall be on file at the facility. Opting out means that the operator will not provide any food or drink so long as the child’s parent or guardian provides all meals, snacks, and drinks scheduled to be served at the program’s designated times. If the child’s parent or guardian has opted out but does not provide all food and drink for the child, the program shall provide supplemental food and drink as if the child’s parent or guardian had not opted out of the supplemental food program. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me using the information below. Pam Hauser, Licensing Supervisor (336) 317-5003 pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: PAMELA HAUSER Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 56 Completed Date: 11/12/2024 Age: From 3 To 5 Total Minutes: 310 Time In: 09:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Pam Hauser, Licensing Supervisor with Ms. Welch, Ms. Thomspon, Ms. Moser and Ms. Edwards, lead teachers. Your program currently operates with a Five-star license effective August 23, 2024. Restrictions include daytime care only, enhanced space and ratios minus one, Certified Developmental Day, and Preschool children may not use school-age equipment. The program is operated by Mt. Airy City Schools. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaged in developmentally appropriate activities, outdoor play and lunch during today’s visit. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded October 8, 2024. A fire drill was recorded October 24, 2024. A lock down drill for the facility was recorded 10/8/2024. The most recent fire inspection was on March 19, 2024. I observed a sanitation inspection was last conducted on October 3, 2024, earning a superior classification. You stated that you do provide transportation in the NC Pre-K and Developmental Day Classrooms. During today’s visit, I monitored emergency information, permission to transport forms for a sampling of children being transported. All DPI transportation forms were on file and signed by the appropriate individual. All bus drivers had their criminal background check on file. The following violation was cited during today’s visit: Violation Number Comment Rule 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Three new staff hired August 5, 2024, had not completed the training within the first 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before November 26, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to pamela.hauser@dhhs.nc.gov or mail two copies of the letter to: Pam Hauser P.O. Box 279 King, NC 27021 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: There were 3 new staff hired August 2024, who had not completed the Recognizing and Responding training through PCAN Prevent Child Abuse Now. The school has training regarding preventing child abuse however the first time completing must be through PCAN. Additional Information/Consultation: During today’s visit we discussed staff child ratio for meets enhanced standards minus one in the preschool classroom, 203. Staff/Child ratios must be maintained at all times including transitioning to the restroom, etc. You must be able to see and hear children at all times to be able to render immediate assistance if needed to maintain adequate supervision. You may have one teacher in the bathroom and one teacher in the hallway engaging children in activities if necessary or take nine children to the restroom at a time and the remainder of children can wash their hands in the classroom with the other teacher. I encourage you to do what is best for your classrooms while maintaining 1:9 staff/child ratio and supervision. Transitions can be difficult however with planned activities during this transition can help in a much smoother transition. When children 0-5 are eating and/or drinking you must be able to hear and see at all times. During today’s visit we discussed the opt out for children enrolled in the program. When children bring their own food for meals and snacks to the program, if the food does not meet the nutritional requirements specified in Paragraph (a) of this Rule, the operator must provide the additional food necessary to meet those requirements unless the child’s parent or guardian opts out of the supplemental food provided by the operator as set forth in G.S. 110-91(2) h.1. A statement acknowledging the parental decision to opt out of the supplemental food provided by the operator signed by the child’s parent or guardian shall be on file at the facility. Opting out means that the operator will not provide any food or drink so long as the child’s parent or guardian provides all meals, snacks, and drinks scheduled to be served at the program’s designated times. If the child’s parent or guardian has opted out but does not provide all food and drink for the child, the program shall provide supplemental food and drink as if the child’s parent or guardian had not opted out of the supplemental food program. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me using the information below. Pam Hauser, Licensing Supervisor (336) 317-5003 pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .3009 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 50 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 11:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 203 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 202 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Audrey Davis, childcare consultant with Chelsea Payne, principal and Ashley Moser LT for room 202. Your program currently operates with a five-star license issued10/25/22. Restrictions include 1st shift care, enhanced ratios, enhanced space, enhanced ratios minus one, and school-age outdoor equipment off-limits to preschool children. The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having outdoor play and lunch. Lunch included cheese burgers, potato wedges, blueberries, and milk. I observed developmentally appropriate materials and activities were available to the children in the classrooms and outside. The last annual compliance visit was conducted on May 30, 2023. A sanitation inspection was completed 4/4/24 with14 demerits and a Superior classification. The last fire inspection was conducted 3/27/24. Ms. Moser provided me with a copy of the report today. Program records and required postings were monitored. A fire drill was conducted on 5/17/24 and a lockdown drill was documented on 2/29/24. An outdoor inspection was documented on 5/22/24 Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are in a locked cabinet above each classroom sink. Emergency medications were observed and are stored in a bookbag five feet up out of childrne’s reach and transported with the teacher to the playground and cafeteria. There are bus riders in each of the four classrooms. I observed the required permissions in the files for children that are transported. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The developmental day requirements in section .2900 of the childcaeare rules were monitored for compliance. The program operates from 7:50 to 2:30 which is 6 ½ hours per day, Monday through Friday, __ months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site MonitStaff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The classrooms use the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted 4 tims per year: Parent conferences are held ___ times per year. You stated that you use the See-Saw app and Ready Rosie to communicate with parents. You verified that you incorporate family engagement by assigning parent-child projects throughout the year. One violation was observed today and documented as follows: Violation Number Comment Rule 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Health questionnaires for staff were filed in the same folder with each staff member's personnel file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before June 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation please email the letter to Audrey.Daviw@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)_317-651 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 50 Completed Date: 5/23/2024 Age: From 3 To 5 Total Minutes: 165 Time In: 11:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 in spaces 203 and 402, as required for certified developmental day programs. This visit was also used to monitor compliance with applicable childcare requirements located in Child Care Rule Section .3000 in spaces 202 and 404, where children participating in the NC Pre-K program are cared for. This visit was conducted by Audrey Davis, childcare consultant with Chelsea Payne, principal and Ashley Moser LT for room 202. Your program currently operates with a five-star license issued10/25/22. Restrictions include 1st shift care, enhanced ratios, enhanced space, enhanced ratios minus one, and school-age outdoor equipment off-limits to preschool children. The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having outdoor play and lunch. Lunch included cheese burgers, potato wedges, blueberries, and milk. I observed developmentally appropriate materials and activities were available to the children in the classrooms and outside. The last annual compliance visit was conducted on May 30, 2023. A sanitation inspection was completed 4/4/24 with14 demerits and a Superior classification. The last fire inspection was conducted 3/27/24. Ms. Moser provided me with a copy of the report today. Program records and required postings were monitored. A fire drill was conducted on 5/17/24 and a lockdown drill was documented on 2/29/24. An outdoor inspection was documented on 5/22/24 Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and are in a locked cabinet above each classroom sink. Emergency medications were observed and are stored in a bookbag five feet up out of childrne’s reach and transported with the teacher to the playground and cafeteria. There are bus riders in each of the four classrooms. I observed the required permissions in the files for children that are transported. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The developmental day requirements in section .2900 of the childcaeare rules were monitored for compliance. The program operates from 7:50 to 2:30 which is 6 ½ hours per day, Monday through Friday, __ months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. I confirmed this facility provides the following five family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities, field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site MonitStaff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The classrooms use the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted 4 tims per year: Parent conferences are held ___ times per year. You stated that you use the See-Saw app and Ready Rosie to communicate with parents. You verified that you incorporate family engagement by assigning parent-child projects throughout the year. One violation was observed today and documented as follows: Violation Number Comment Rule 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Health questionnaires for staff were filed in the same folder with each staff member's personnel file. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before June 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation please email the letter to Audrey.Daviw@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)_317-651 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .2902 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 33 Completed Date: 1/11/2024 Age: From 4 To 5 Total Minutes: 350 Time In: 10:40 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Audrey Davis, Childcare Consultant with Emily Hardy, Pre-K Director for Mt. Airy City Schools, and Beth Welch, lead teacher. Your program currently operates with a five-star license effective 10/25/22. Restrictions include first shift only, enhanced ratios, enhanced space, enhanced ratios minus one, school-age playground equipment off-limits to preschool children; meets certified developmental day requirements. This facility is operated by Mt. Airy City Schools. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having indoor and outdoor play, lunch, and rest. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over 25 years’ experience. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered daily. I confirmed this facility provides the following family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities such as field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Welch, Thompson, and Moser; and the teacher assistants are Sechrist, Hiatt, and Heath. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held two times per year. Ms. Welch stated you use the See Saw app to communicate with parents. Two new staff were reported at this program. Files for new staff were reviewed. A new principal, Chelsea Payne was also hired although Ms. Hardy will continue to serve as the Pre-K administrator for this site. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. A fire drill was documented 12/15/23 and a lock down drill on 11/21/23. The most recent fire inspection was on 9/12/23 and a copy provided for me today. A sanitation inspection was last conducted on 5/19/23 with a Superior rating. Some of the preschool children are transported by public school bus to and/ or from school daily. I observed the Transportation Requirements form signed by an Authorized Transportation Personnel verifying the vehicles used to transport children are in good condition and free of hazards and all requirements are met for drivers and monitors. The following violations of child care requirements were documented today: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Two of three classrooms did not have the opportunity to go outside today. GS 110-91(2);.0508(c) 721 All equipment and furnishings were not in good repair. A basketball goal on the playground did not include a net. G.S. 110-91(6); .0601(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute teacher for 4 and 5 year old children did not have a signed statement on file verifying the staff received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute teacher in a classroom for 4 and 5 year old children did not have a statement on file verifying the staff received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical files for two staff were included in the staff's individual personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A teacher employed in August 2023 did not have the required training in Recognizing and Responding to suspicions of child maltreatment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 25, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Re: basketball goal – equipment not in good working condition should be removed from the children’s play space. • Outdoors daily weather conditions permitted refers to active precipitation and not the condition of the ground. On days when the playground is saturated with water, children could still go for a walk for fresh air. In the event the ground is extremely saturated after a moderate rain, (which does not appear to be the case here), there may be drainage issues that need to be addressed. •Our Division does not require public schools to maintain staff’s medial records on site, however, if you choose to keep them on site, the rule regarding maintaining them separate from the staff’s individual personnel file applies. - New staff must take the Prevent Child Abuse version of the maltreatment training instead of the Moodle training. -Substitute teachers are required to receive a review of the EPR plan and its location along with a review of the Prevent Shaken Baby policy prior to working with children and maintain a sign statement on file verifying they received this information. - Additional Information discussed: Ms. Beth mentioned you plan to take the children to the movies next week as a school system award for good behavior. You did not know what movie will be shown. Keep in mind your responsibility to assure the movie is developmentally suitable for preschool-age children. We discussed the requirements in .1005 regarding off-premise activities and .1000 regarding transportation which must be met anytime children are transported away from the facility. Resuming the Rated License: Your facility is in Cohort 2 for Resuming the Rated License meaning your Preparation Year begins July 1, 2024 through June 30, 2025. Your rated license points will be reassessed between July 1, 2025 and June 30, 2026. At the completion of this visit, the visit summary was reviewed with you from my computer screen and emailed to you. Thank you for your time and assistance today. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .3009 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 33 Completed Date: 1/11/2024 Age: From 4 To 5 Total Minutes: 350 Time In: 10:40 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Audrey Davis, Childcare Consultant with Emily Hardy, Pre-K Director for Mt. Airy City Schools, and Beth Welch, lead teacher. Your program currently operates with a five-star license effective 10/25/22. Restrictions include first shift only, enhanced ratios, enhanced space, enhanced ratios minus one, school-age playground equipment off-limits to preschool children; meets certified developmental day requirements. This facility is operated by Mt. Airy City Schools. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having indoor and outdoor play, lunch, and rest. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over 25 years’ experience. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered daily. I confirmed this facility provides the following family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities such as field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Welch, Thompson, and Moser; and the teacher assistants are Sechrist, Hiatt, and Heath. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held two times per year. Ms. Welch stated you use the See Saw app to communicate with parents. Two new staff were reported at this program. Files for new staff were reviewed. A new principal, Chelsea Payne was also hired although Ms. Hardy will continue to serve as the Pre-K administrator for this site. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. A fire drill was documented 12/15/23 and a lock down drill on 11/21/23. The most recent fire inspection was on 9/12/23 and a copy provided for me today. A sanitation inspection was last conducted on 5/19/23 with a Superior rating. Some of the preschool children are transported by public school bus to and/ or from school daily. I observed the Transportation Requirements form signed by an Authorized Transportation Personnel verifying the vehicles used to transport children are in good condition and free of hazards and all requirements are met for drivers and monitors. The following violations of child care requirements were documented today: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Two of three classrooms did not have the opportunity to go outside today. GS 110-91(2);.0508(c) 721 All equipment and furnishings were not in good repair. A basketball goal on the playground did not include a net. G.S. 110-91(6); .0601(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute teacher for 4 and 5 year old children did not have a signed statement on file verifying the staff received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute teacher in a classroom for 4 and 5 year old children did not have a statement on file verifying the staff received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical files for two staff were included in the staff's individual personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A teacher employed in August 2023 did not have the required training in Recognizing and Responding to suspicions of child maltreatment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 25, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Re: basketball goal – equipment not in good working condition should be removed from the children’s play space. • Outdoors daily weather conditions permitted refers to active precipitation and not the condition of the ground. On days when the playground is saturated with water, children could still go for a walk for fresh air. In the event the ground is extremely saturated after a moderate rain, (which does not appear to be the case here), there may be drainage issues that need to be addressed. •Our Division does not require public schools to maintain staff’s medial records on site, however, if you choose to keep them on site, the rule regarding maintaining them separate from the staff’s individual personnel file applies. - New staff must take the Prevent Child Abuse version of the maltreatment training instead of the Moodle training. -Substitute teachers are required to receive a review of the EPR plan and its location along with a review of the Prevent Shaken Baby policy prior to working with children and maintain a sign statement on file verifying they received this information. - Additional Information discussed: Ms. Beth mentioned you plan to take the children to the movies next week as a school system award for good behavior. You did not know what movie will be shown. Keep in mind your responsibility to assure the movie is developmentally suitable for preschool-age children. We discussed the requirements in .1005 regarding off-premise activities and .1000 regarding transportation which must be met anytime children are transported away from the facility. Resuming the Rated License: Your facility is in Cohort 2 for Resuming the Rated License meaning your Preparation Year begins July 1, 2024 through June 30, 2025. Your rated license points will be reassessed between July 1, 2025 and June 30, 2026. At the completion of this visit, the visit summary was reviewed with you from my computer screen and emailed to you. Thank you for your time and assistance today. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 33 Completed Date: 1/11/2024 Age: From 4 To 5 Total Minutes: 350 Time In: 10:40 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Audrey Davis, Childcare Consultant with Emily Hardy, Pre-K Director for Mt. Airy City Schools, and Beth Welch, lead teacher. Your program currently operates with a five-star license effective 10/25/22. Restrictions include first shift only, enhanced ratios, enhanced space, enhanced ratios minus one, school-age playground equipment off-limits to preschool children; meets certified developmental day requirements. This facility is operated by Mt. Airy City Schools. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having indoor and outdoor play, lunch, and rest. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over 25 years’ experience. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered daily. I confirmed this facility provides the following family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities such as field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Welch, Thompson, and Moser; and the teacher assistants are Sechrist, Hiatt, and Heath. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held two times per year. Ms. Welch stated you use the See Saw app to communicate with parents. Two new staff were reported at this program. Files for new staff were reviewed. A new principal, Chelsea Payne was also hired although Ms. Hardy will continue to serve as the Pre-K administrator for this site. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. A fire drill was documented 12/15/23 and a lock down drill on 11/21/23. The most recent fire inspection was on 9/12/23 and a copy provided for me today. A sanitation inspection was last conducted on 5/19/23 with a Superior rating. Some of the preschool children are transported by public school bus to and/ or from school daily. I observed the Transportation Requirements form signed by an Authorized Transportation Personnel verifying the vehicles used to transport children are in good condition and free of hazards and all requirements are met for drivers and monitors. The following violations of child care requirements were documented today: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Two of three classrooms did not have the opportunity to go outside today. GS 110-91(2);.0508(c) 721 All equipment and furnishings were not in good repair. A basketball goal on the playground did not include a net. G.S. 110-91(6); .0601(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute teacher for 4 and 5 year old children did not have a signed statement on file verifying the staff received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute teacher in a classroom for 4 and 5 year old children did not have a statement on file verifying the staff received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical files for two staff were included in the staff's individual personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A teacher employed in August 2023 did not have the required training in Recognizing and Responding to suspicions of child maltreatment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 25, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Re: basketball goal – equipment not in good working condition should be removed from the children’s play space. • Outdoors daily weather conditions permitted refers to active precipitation and not the condition of the ground. On days when the playground is saturated with water, children could still go for a walk for fresh air. In the event the ground is extremely saturated after a moderate rain, (which does not appear to be the case here), there may be drainage issues that need to be addressed. •Our Division does not require public schools to maintain staff’s medial records on site, however, if you choose to keep them on site, the rule regarding maintaining them separate from the staff’s individual personnel file applies. - New staff must take the Prevent Child Abuse version of the maltreatment training instead of the Moodle training. -Substitute teachers are required to receive a review of the EPR plan and its location along with a review of the Prevent Shaken Baby policy prior to working with children and maintain a sign statement on file verifying they received this information. - Additional Information discussed: Ms. Beth mentioned you plan to take the children to the movies next week as a school system award for good behavior. You did not know what movie will be shown. Keep in mind your responsibility to assure the movie is developmentally suitable for preschool-age children. We discussed the requirements in .1005 regarding off-premise activities and .1000 regarding transportation which must be met anytime children are transported away from the facility. Resuming the Rated License: Your facility is in Cohort 2 for Resuming the Rated License meaning your Preparation Year begins July 1, 2024 through June 30, 2025. Your rated license points will be reassessed between July 1, 2025 and June 30, 2026. At the completion of this visit, the visit summary was reviewed with you from my computer screen and emailed to you. Thank you for your time and assistance today. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 33 Completed Date: 1/11/2024 Age: From 4 To 5 Total Minutes: 350 Time In: 10:40 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Audrey Davis, Childcare Consultant with Emily Hardy, Pre-K Director for Mt. Airy City Schools, and Beth Welch, lead teacher. Your program currently operates with a five-star license effective 10/25/22. Restrictions include first shift only, enhanced ratios, enhanced space, enhanced ratios minus one, school-age playground equipment off-limits to preschool children; meets certified developmental day requirements. This facility is operated by Mt. Airy City Schools. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having indoor and outdoor play, lunch, and rest. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over 25 years’ experience. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered daily. I confirmed this facility provides the following family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities such as field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Welch, Thompson, and Moser; and the teacher assistants are Sechrist, Hiatt, and Heath. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held two times per year. Ms. Welch stated you use the See Saw app to communicate with parents. Two new staff were reported at this program. Files for new staff were reviewed. A new principal, Chelsea Payne was also hired although Ms. Hardy will continue to serve as the Pre-K administrator for this site. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. A fire drill was documented 12/15/23 and a lock down drill on 11/21/23. The most recent fire inspection was on 9/12/23 and a copy provided for me today. A sanitation inspection was last conducted on 5/19/23 with a Superior rating. Some of the preschool children are transported by public school bus to and/ or from school daily. I observed the Transportation Requirements form signed by an Authorized Transportation Personnel verifying the vehicles used to transport children are in good condition and free of hazards and all requirements are met for drivers and monitors. The following violations of child care requirements were documented today: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Two of three classrooms did not have the opportunity to go outside today. GS 110-91(2);.0508(c) 721 All equipment and furnishings were not in good repair. A basketball goal on the playground did not include a net. G.S. 110-91(6); .0601(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute teacher for 4 and 5 year old children did not have a signed statement on file verifying the staff received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute teacher in a classroom for 4 and 5 year old children did not have a statement on file verifying the staff received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical files for two staff were included in the staff's individual personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A teacher employed in August 2023 did not have the required training in Recognizing and Responding to suspicions of child maltreatment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 25, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Re: basketball goal – equipment not in good working condition should be removed from the children’s play space. • Outdoors daily weather conditions permitted refers to active precipitation and not the condition of the ground. On days when the playground is saturated with water, children could still go for a walk for fresh air. In the event the ground is extremely saturated after a moderate rain, (which does not appear to be the case here), there may be drainage issues that need to be addressed. •Our Division does not require public schools to maintain staff’s medial records on site, however, if you choose to keep them on site, the rule regarding maintaining them separate from the staff’s individual personnel file applies. - New staff must take the Prevent Child Abuse version of the maltreatment training instead of the Moodle training. -Substitute teachers are required to receive a review of the EPR plan and its location along with a review of the Prevent Shaken Baby policy prior to working with children and maintain a sign statement on file verifying they received this information. - Additional Information discussed: Ms. Beth mentioned you plan to take the children to the movies next week as a school system award for good behavior. You did not know what movie will be shown. Keep in mind your responsibility to assure the movie is developmentally suitable for preschool-age children. We discussed the requirements in .1005 regarding off-premise activities and .1000 regarding transportation which must be met anytime children are transported away from the facility. Resuming the Rated License: Your facility is in Cohort 2 for Resuming the Rated License meaning your Preparation Year begins July 1, 2024 through June 30, 2025. Your rated license points will be reassessed between July 1, 2025 and June 30, 2026. At the completion of this visit, the visit summary was reviewed with you from my computer screen and emailed to you. Thank you for your time and assistance today. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BH THARRINGTON PRESCHOOL Facility ID: 86000232 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/11/2024 Number Present: 33 Completed Date: 1/11/2024 Age: From 4 To 5 Total Minutes: 350 Time In: 10:40 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Audrey Davis, Childcare Consultant with Emily Hardy, Pre-K Director for Mt. Airy City Schools, and Beth Welch, lead teacher. Your program currently operates with a five-star license effective 10/25/22. Restrictions include first shift only, enhanced ratios, enhanced space, enhanced ratios minus one, school-age playground equipment off-limits to preschool children; meets certified developmental day requirements. This facility is operated by Mt. Airy City Schools. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having indoor and outdoor play, lunch, and rest. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 202 and 402. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. Lead teachers assigned to each of these spaces have NC Birth-through-Kindergarten licenses and the administrator has a Level III NCECAC with over 25 years’ experience. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered daily. I confirmed this facility provides the following family involvement activities: quarterly parent education sessions, parent/teacher conferences twice a year; daily notes of progress provided to parents; opportunities for parent volunteers to assist with special classroom activities such as field trips and other learning experiences for children; and provides parents with referral information about other community programs and resources serving young children. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Welch, Thompson, and Moser; and the teacher assistants are Sechrist, Hiatt, and Heath. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. Checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. Parent conferences are held two times per year. Ms. Welch stated you use the See Saw app to communicate with parents. Two new staff were reported at this program. Files for new staff were reviewed. A new principal, Chelsea Payne was also hired although Ms. Hardy will continue to serve as the Pre-K administrator for this site. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. A fire drill was documented 12/15/23 and a lock down drill on 11/21/23. The most recent fire inspection was on 9/12/23 and a copy provided for me today. A sanitation inspection was last conducted on 5/19/23 with a Superior rating. Some of the preschool children are transported by public school bus to and/ or from school daily. I observed the Transportation Requirements form signed by an Authorized Transportation Personnel verifying the vehicles used to transport children are in good condition and free of hazards and all requirements are met for drivers and monitors. The following violations of child care requirements were documented today: Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Two of three classrooms did not have the opportunity to go outside today. GS 110-91(2);.0508(c) 721 All equipment and furnishings were not in good repair. A basketball goal on the playground did not include a net. G.S. 110-91(6); .0601(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. A substitute teacher for 4 and 5 year old children did not have a signed statement on file verifying the staff received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A substitute teacher in a classroom for 4 and 5 year old children did not have a statement on file verifying the staff received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical files for two staff were included in the staff's individual personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A teacher employed in August 2023 did not have the required training in Recognizing and Responding to suspicions of child maltreatment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before January 25, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Re: basketball goal – equipment not in good working condition should be removed from the children’s play space. • Outdoors daily weather conditions permitted refers to active precipitation and not the condition of the ground. On days when the playground is saturated with water, children could still go for a walk for fresh air. In the event the ground is extremely saturated after a moderate rain, (which does not appear to be the case here), there may be drainage issues that need to be addressed. •Our Division does not require public schools to maintain staff’s medial records on site, however, if you choose to keep them on site, the rule regarding maintaining them separate from the staff’s individual personnel file applies. - New staff must take the Prevent Child Abuse version of the maltreatment training instead of the Moodle training. -Substitute teachers are required to receive a review of the EPR plan and its location along with a review of the Prevent Shaken Baby policy prior to working with children and maintain a sign statement on file verifying they received this information. - Additional Information discussed: Ms. Beth mentioned you plan to take the children to the movies next week as a school system award for good behavior. You did not know what movie will be shown. Keep in mind your responsibility to assure the movie is developmentally suitable for preschool-age children. We discussed the requirements in .1005 regarding off-premise activities and .1000 regarding transportation which must be met anytime children are transported away from the facility. Resuming the Rated License: Your facility is in Cohort 2 for Resuming the Rated License meaning your Preparation Year begins July 1, 2024 through June 30, 2025. Your rated license points will be reassessed between July 1, 2025 and June 30, 2026. At the completion of this visit, the visit summary was reviewed with you from my computer screen and emailed to you. Thank you for your time and assistance today. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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