10A NCAC 09 .0601 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3013 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/25/2025 Number Present: 17 Completed Date: 9/25/2025 Age: From 4 To 5 Total Minutes: 240 Time In: 10:30 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by Amy Wellborn, Lead Teacher. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91%) percent 7/30/2025. Amy Wellborn, Lead Teacher, was on-site and available to assist with questions. The program’s last annual compliance visit was conducted on 3/10/2025. The following items were monitored today: 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 Permit type – Four (4) Star Rated License effective 4/15/2020. Special Services/Restrictions – first shift (daytime care), meets enhanced space, meets reduced ratios. Approved for NC Pre-K and transportation. This facility serves children with special needs. The last fire drill was practiced on 9/24/2025. The last lockdown drill was practiced on 9/17/2025. The last playground inspection was documented on 2/25/2025. A monthly playground inspection has not been completed for March, April, May, and August. Playground inspection are required to be conducted monthly per rule. An inspection is due to be completed by 9/30/2025. The last fire inspection was approved on 9/25/2025. I received the completed inspection during the visit. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. The group of four- to five-year-old children were transitioning to the carpet for group time. Once at the carpet, the lead teacher read a story, The Land of Many Colors. Then the group participated in a music and movement song about the letter F. At 10:50a, the group lined up to transition to the restroom and cafeteria for lunch. After using the restroom, the group transitioned to the cafeteria. The children went through the line, got their tray and sat down at their assigned tables. Lunch served today consisted of hotdog, green beans, sweet potatoes, peaches, and milk. The menu posted documented lunch was chicken salad, corndog, green beans, sweet potatoes, peaches, and milk. The lead teacher updated the menu during the visit to reflect the meal substitutions. After lunch, the group transitioned to the classroom for a story on the carpet. When group time concluded, the group lined up to transition outdoors. Once outdoors, the group engaged in play with balls, climber, little tikes’ cottage, shovels, rakes, and push toys. While monitoring outdoors I observed a Mitsubishi Electric unit not enclosed by a fence. We discussed that the unit would need to be enclosed by a fence. The teacher stated that the unit was installed later in the year last year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The 2025-2026 NC Pre-K Program Site Monitoring Tool is due to be submitted by October 31, 2025. The NC Pre-K Program Site Monitoring Tool will be reviewed during the next visit. The classroom operates from 7:30 a.m. to 2:45 p.m. 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. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. The Automated Background Check Management System (ABCMS) system was viewed during the visit, and the staff member has a valid qualifying letter. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. While reviewing the NC Pre-Kindergarten teacher assistant file that was hired 8/7/2024, I monitored that the teacher assistant did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted and on file for review. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. .0605(q) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1783 The teacher assistant does not meet the education requirements and/or documentation was not available for review of the progress toward the required standard. The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. .3013 (1)(2)(a-b) 1898 Staff did not complete the health and safety training within one year of employment. Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). .1102(a) Technical assistance was provided as follows: Item 721- Brown couch in the book center was in poor repair. The brown vinyl covering is cracked, with sections of vinyl missing on the armrest, exposing the internal foam. We discussed that the exposed internal foam would need to be covered or the couch would need to be removed until it can be repaired. Rule Reference: GS-110-91 (6) Item 807- The Mitsubishi Electric unit has a protruding guard with open side panels that pose multiple safety risks: Children can insert their hands/arms or throw objects into the unit through the side openings. The unit features sharp corners that could cause injury if a child were to fall against it. We discussed to mitigate these risks, to add additional protective guard or barrier should be installed along the open sides of the unit to prevent access and reduce the chance of injury. Rule Reference: 10A NCAC 09 Item 859- The last monthly playground inspection was completed on 2/25/2025. A monthly playground inspection was not completed for the month of March, April, May, or August of 2025. We discussed per requirements, a monthly playground inspection is required for each month the facility is in operation. Rule Reference: 10A NCAC 09 .0605(q) Item 1757- Staff member S.Crouch valid qualification letter was not on file and available for review at the facility. We discussed that all staff members must have a valid qualifying letter on file for review during the visit. Rule Reference: G.S. 110-90.2(b) Item 1783- The NC Pre-Kindergarten teacher assistant was hired 8/7/2024 and did not meet education requirements or show documentation of progress towards obtaining the required degree. The teacher assistant stated that she registered in the Spring of last school year to Western Carolina University, but it was too late in the semester to start the classes. This school year the staff member has sent in the application for Caldwell Community College and needs to complete the FASFA for 2025-2026. The teacher assistant stated that Avery County Schools has been in conversation with the NC Pre-K Consultant regarding this situation. A letter or timeline for completion of the education requirements will need to be submitted. Rule Reference: 10A NCAC 09 .3013(1)(2)(a-b) Item 1898- Staff member ML hired 8/7/2024 did not complete the health and safety training within one year of employment. The staff member was missing three (3) training topics (Prevention of and response to emergencies due to food and allergic reactions, Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic, and Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event). We reviewed the staff members online Moodle account during the visit and determined the course evaluations were not completed causing a certificate to not be issued. We discussed that the staff member would need to complete the three (3) health and safety training topics again. Rule Reference: 10A NCAC 09 .1102(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/9/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- ML criminal background check is due to be renewed by 3/1/2026, TL criminal background check is due to be renewed by 5/19/2026, LB criminal background check is due to be renewed by 4/13/2026. When completing the staff and training worksheet for your annual compliance visit, each item must be completed. Working hours should list the specific hours the employee works along with the specific days. QRIS- We discussed the new QRIS pathways to the stars. I asked the provider to begin looking at which pathway they want to pursue. During the next unannounced visit, we will discuss which pathway they have chosen and begin planning and discussing next steps. Today, I encouraged the provider to visit the Divisions website https://ncchildcare.ncdhhs.gov/ to access the Quality Rating Improvement System (QRIS) Modernization page to review each pathway and the supporting resources. Public School Off Premises forms for Staff, Children, and Transportation are to be updated annually. ABCMS provider portal- Continue to verify your staff roster in the ABCMS portal. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0607 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0701 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1103 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/10/2025 Number Present: 13 Completed Date: 3/10/2025 Age: From 4 To 5 Total Minutes: 290 Time In: 10:25 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Amy Wellborn, Lead Teacher was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 3/7/2025. This facility is operated by Avery County Schools and is located in Newland Elementary School. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The last annual compliance visit was conducted on 4/12/2024. The last fire drill was practiced on 2/26/2025. The last shelter-in-place drill was practiced on 11/6/2024. An emergency drill was due in February. When asked about the drill, the teacher stated that the drill had to be rescheduled twice due to inclement weather. The drill was originally scheduled for 2/15/2025 and then rescheduled for 2/22/2025. The drill was unable to be conducted due to the facility closure. We discussed that drill will need to be conducted by 3/17/2025. The last playground inspection was documented on 2/25/2025. The last fire inspection was approved on 9/3/2024. The last sanitation inspection was conducted on 2/7/2025 with five (5) demerits for a superior classification. The last lead water testing was completed on 6/29/2021. The lead water testing was due to be completed on 6/29/2024. Just a reminder, the lead paint and asbestos testing is due to be completed by 5/31/2025. I strongly recommend you go ahead and begin the process for all lead and asbestos testing in order to have it completed by the deadline. Continue to work closely with Environmental Health and your school system. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility was closed from 9/27/2025 to 11/6/2025 due to Tropical Storm Helene. Upon arrival into the classroom, I observed the children were cleaning up from free play. After finished cleaning up, the group transitioned to the carpet for group time. At group time, the lead teacher read the book The Things That Zoom. After the story, the group stood up and participated in the U song. The staff and children engaged in learning the letter U sound and how to write the letter U. When group time was over, the group lined up to go to lunch. The group stopped in the hallway to use the restroom and wash hands. Then the group transitioned to the cafeteria. While monitoring the cafeteria, I observed three (3) electrical outlets uncovered on the front wall before the cafeteria line. We discussed that the staff will need to carry extra outlet covers to cover any outlets along their way. Lunch consisted of pizza, salad, corn, peaches, and milk. After lunch, the group transitioned back to the classroom. While monitoring the classroom, I observed three (3) electrical outlets uncovered two (2) beside the brown storage cabinet under the built in desk area, and one (1) beside the Smartboard. We discussed conducting a classroom check and covering any outlets prior to the children arriving for the day. Once in the classroom, the children put on their coats to transition outdoors for gross motor play. Outside the children engaged in play with balls, little tikes cottages, waffle blocks, and the sand table. While monitoring outside, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. The hole in the middle of the play space will need to be filled with dirt to prevent a child from tripping and falling. Outside time concluded at 12:05p. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:25 a.m. to 2:45 p.m. While reviewing the staff and training worksheet, I observed that two (2) staff members who were hired originally with Avery County Schools did have a medical report completed. However, when the staff members transitioned to the licensed child care program, the staff members did not have an updated medical report completed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. A hole in the middle of the playground could be a potential trip hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member TP annual health questionnaire was not completed and on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member TP emergency information was not completed and on file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. .1103(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. 10A NCAC 09 .0514(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. .0607(e) Technical assistance was provided as follows: Item #807 10A NCAC 09 .0601(a) Outdoors, I observed a wooden broken bridge near the down spout, and exposed concrete at the down spout. We discussed the broken bridge will need to be removed, dirt will need to be added to fill in the hole and cover the exposed concrete. A hole in the middle of the playground could be a potential trip hazard. The hole in the middle of the play space will need to be filled in with dirt to prevent a child from tripping and falling. The teacher told me that she has asked the principal to submit a work order. Item #812 10A NCAC 09 .0604(c) Three (3) electrical outlets were uncovered in the classroom, two (2) outlets under the built in desk and one (1) outlet beside the smartboard. In the cafeteria, three (3) electrical outlets on the wall as you enter the cafeteria line were uncovered. We discussed carrying safety outlet plugs to cover any uncovered outlets as you see them. The custodian corrected this during the visit. Item#1032 10A NCAC 09.0701(a) Staff member hired 8/7/2024 medical report was on file but was dated 2/3/2023 and 10/12/2019 when the staff members were originally hired for Avery County Schools. However, their employment positioned changed to the licensed child care program on 8/7/2024 and a medical report is needed. We discussed that when a staff member transitions to a licensed program, the staff member must have a valid medical report on file prior to their first day of work. The medical report can be no more than twelve (12) months old. Item #1033 10A NCAC 09.0701(a) Two (2) staff members hired 8/7/2024 did not have TB test was not on file prior to the first day of work. We discussed staff members must have a completed TB test on file prior to the first day of work. Item #1034 10A NCAC 09.0701 (A) Staff member TP health questionnaire was not completed and on file. We discussed that the health questionnaire must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1035- 10A NCAC 09 .0701(a) Staff member TP emergency information was not completed and on file. We discussed that the emergency information must be completed and on file annually. I suggested that the classroom staff create a folder for staff member TP to have in the classroom for review. Item #1052 10A NCAC 09.1103(a) Staff member AW did not completed the required on-going training hours for the 2023-2024 school year. During the annual compliance visit on 4/12/2024, it was noted that the staff member needed one (1) hour and twenty (20) minutes of on-going training hours prior to 8/1/2024. The staff member completed the training hours late on 1/7/2025 and 1/10/2025. We discussed that the staff member will need to completed one (1) hour and forty-three (43) minutes by 8/1/2025. I suggested that the staff member put reminders on their calendar monthly to remind them that the training hours are due. Item #1203 10A NCAC 09 .0514(b) Child SB operational policies were not discussed and/or notified in writing with the parents prior to the first day of school. While reviewing the child’s file, we discussed that the operational policies document was not completed or present in the file. The lead teacher stated those are completed at the first of school and was unsure of where the documents were. We discussed reviewing them with the parents and having them sign off and add the packet to the child's file. Moving forward during the first of the year conduct a double check to ensure you have all the required documents prior to the first day of school using the children's file checklist. Item #1824 10A NCAC 09.0607(g) The EPR Plan was not reviewed annually or when information in the plan changed to ensure all information was current. We discussed documenting on your calendar the date the plan needs to be reviewed by as a reminder. Due to Tropical Storm Helene and the State of Emergency, additional time was allotted for the following: Staff member SR Recognizing and Responding to Suspicions of Child Maltreatment training was not completed within the first ninety days of employment due to Tropical Storm Helene and facility closures due to inclement weather. The staff member had started the training prior to the storm and the website went down and then the staff member had no internet connection. Child CP hearing screening was not completed within the first thirty days of enrollment due to Tropical Storm Helene. We discussed that the teacher will need to reach out to the parent or Health Care Coordinator to have this screening completed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/24/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We reviewed that each year the Public Off-Site Verification forms must be completed by the administrator. Staff and Training worksheet- Items that are covered by the Public Off-Site Verification forms, will need to have a date moving forward in the appropriate spot on the staff and training worksheet form. If the county office houses these items, you will need to reach out to request the date for these items. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1103 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/12/2024 Number Present: 18 Completed Date: 4/12/2024 Age: From 4 To 5 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival, I checked in at the front office, and spoke with Tamara Presnell, Administrator. Then I walked down to the pre-kindergarten classroom. When I arrived in the pre-kindergarten classroom, I was greeted by Amy Wellborn, Lead Teacher and Jackie Trice, Teacher. Ms. Wellborn was available during the visit. The program operates with a Four (4) Star Rated License, issued 4/15/2020. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced staff/child ratio. The program receives NCPK funding and is approved for transportation. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 4/18/2023. The last fire drill was practiced on 2/27/2024. The last lockdown drill was practiced on 1/11/2024. The last playground inspection was documented on 4/8/2024. The last fire inspection was approved on 6/14/2023. The last sanitation inspection was conducted on 1/9/2023 with four (4) demerits for a superior classification. A current inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The last lead testing was completed 6/29/2021. Lead testing is due to be completed by 6/29/204. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Currently, the program has no medications for the children enrolled. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 4/8/2024. This NC Pre-Kindergarten funded classroom is located in Newland Elementary School, owned and operated by Avery County Public School System. Upon arrival into the classroom, I observed the children engaged in free play with legos, blocks, and dramatic play. The staff were working in one on one activities with the children with letter recognition and the Pizza game. After free choice play, the children cleaned up and transitioned to the carpet. Once at the carpet, the lead teacher conducted group time discussing words that start with the letter “T”. When group time concluded, the children lined up to prepare to transition to lunch in the cafeteria. Prior to going to lunch in the cafeteria, the children stopped at the restroom to use the restroom and wash their hands. Then transitioned to the cafeteria. Lunch today consisted of hamburger, pears, baked beans, tater tots, and milk. The menu posted documented lunch was going to be hamburger, carrots, bananas, tater tots, and milk. The staff updated the posted menu to reflect what items were served at lunch. After lunch, the children transition back to the classroom. Then they prepared to go outside by putting on their coats. Once outside, the children engaged in play with the climber, trikes, balls, and Little Tikes playhouse. After outside time, the children transitioned indoors at 12:10p. The children put away their coats in their cubbies and went straight to the carpet without washing their hands upon arrival into the classroom. At 12:13p, the lead teacher began story time reading The Pizza Man. When story time concluded, at 12:26p the children were called one at a time to wash their hands before snack. The program does provide transportation and is maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:25 a.m. to 2:35 p.m. Parent conferences are held one (1) time per year. You stated that you use handwritten notes to communicate with parents. In addition, a weekly newsletter 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 keeping a communication log that list the family engagement events. Staff and children’s files were monitored during the visit. I monitored two (2) existing staff file was monitored. The staff and training worksheet was received during the visit. Staff file concerns: AW hired 8/1995 health and safety training topics were not completed within five (5) years of the previous certificate completion date. I monitored two (2) children’s files and completed the Children’s Record form. Of the two (2) children’s files monitored, one (1) was a NC Pre-Kindergarten funded child’s file. The children’s files monitored were in compliance with child care and NC Pre-K requirements. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. 15A NCAC 18A .2803(c) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) aerosol can of hand sanitizer was located on top of the refrigerator. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. .1103(b) Technical assistance was provided as follows: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The program last sanitation inspection was conducted on 1/9/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. - When the children entered the classroom from outdoor play, the children put their coats away and went to the carpet for story time without washing their hands upon entry into the classroom. I suggest when the children put their coats away in their cubby to have them go straight to the hand washing sink to begin hand washing and then go to the carpet for story time. Item # 805 Fire drills were not practiced monthly and/or the drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). - Fire drill for the month of March 2024 was not documented. The last documented fire drill was dated 2/27/2024. I recommend sending a friendly reminder if a fire drill is not conducted by the end of the month to the administrator. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - One (1) aerosol can of hand sanitizer was located on top of the refrigerator. I recommend conducting a daily classroom check to ensure hazardous products and aerosol can products are stored appropriately. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drill was not practiced every three (3) months. The documented drills were dated 9/21/2023 and 1/11/2024 four (4) months apart). I suggest pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due by 4/30/2024. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AW hired 8/1995 health and safety training topics were not completed five years from the previous training completion date. I suggest documenting on your calendar a reminder when the health and safety training topics are due to be completed by. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/26/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: - Criminal Background check letters are due to by 8/2024 for staff member AW, JT, and JL. - Add hand washing poster to the hallway bathrooms above the sink. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: NEWLAND PRE-KINDERGARTEN Facility ID: 06000049 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 15 Completed Date: 10/23/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 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 facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office and asked if the principal/administrator, Tamara Presnell was available. Mrs. Presnell was conducting a lesson with a group of students. I walked to the classroom and greeted Amy Wellborn, Lead Teacher at the classroom and explained the reason for today’s visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Wellborn, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. This facility is operated by Avery County Schools and is located in Newland Elementary School, and currently operates with a Four (4) Star Rated License effective 4/15/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This facility is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Amy Wellborn, Lead Teacher, and Tamara Presnell, Administrator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 4/18/2023. The following items were monitored today: 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 Upon arrival, the children were engaged in free choice center play with number pumpkin game, legos, blocks, dramatic play, listening, and books. After free choice center, the children cleaned up and transitioned to the carpet for a group song activity The Five (5) Little Pumpkins. Once the song was over, the group lined up and prepared to transition to the restroom and lunch. All staff interactions were positive and nurturing. The lunch today did not match the menu. The lunch consisted of ham, green beans, mashed potatoes, fruit cocktail, and milk. The menu posted in the classroom was turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The last fire drill was practiced on 9/26/2023. The last emergency drill, lockdown drill, was practiced on 9/21/2023. The last fire inspection was approved on 8/22/2022. The lead teacher is not aware of an inspection being completed this school year. The program’s most recent sanitation inspection was completed on 1/9/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and current. 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. There have been no new staff member hired since the last annual compliance visit. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance. The facility has till October 31, 2023, to complete and submit the Site Monitoring Tool to the contracting agency. NC Pre-K requirements will be monitored during the annual compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. 10A NCAC 09 .0304(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. .2820(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/6/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - Fire inspection was not completed within twelve (12) months of the previous inspection. The fire inspection on file was dated 8/22/2022. When asked about the current inspection, the lead teacher stated that she was not aware of a current inspection. Item # 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. - Menu posted had turkey and gravy, green beans, mashed potatoes, apple crisp, and milk. The lunch served was ham, green beans, mashed potatoes, fruit cocktail, and milk. The teacher corrected this during the visit. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside in in outdoor space #1, a tripping hazard was observed at the corner of the cement walkway and the wooden fenced in area. Item # 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) instant cold compress packs in the first aid kit. The teacher removed these during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. Staff member JK hired 1/1/2003 needs fifteen (15) clock hours prior to January 2024. Currently staff member JT has one (1) hour and forty-five (45) minutes to carry forward. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre-K Teacher Assistant. o If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. o If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Outdoor area with tripping hazard- I recommend adding dirt to fill in the hole. - Emergency Medical Care Plan needs to be reviewed annually and when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times