10A NCAC 09 .0604 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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 .0604 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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

GS 110-91 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/14/2025 Number Present: 14 Completed Date: 11/14/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 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 me, Karla Terry, Child Care Consultant and signed by Melinda McKinney, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with to you. Melinda McKinney, Lead Teacher was available during the visit. Whitney Phillips, Administrator/Principal arrived in the classroom at 11:30a for a discussion regarding the QRIS Modernization. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/12/2025. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License, issued 12/30/2019 Special Services/Restrictions – first shift, meeting reduced ratios, meets enhanced. The last annual compliance visit was conducted on 11/25/2025. The last fire drill was practiced on 11/6/2025. The last shelter-in-place drill was practiced on 10/9/2025. The last playground inspection was documented on 11/10/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/5/2025 with seven (7) demerits for a superior classification. Lead water testing was completed on 7/24/2025 without hazards. Lead paint was completed on 9/2/2025. Riverside Pre-Kindergarten is linked to Riverside Elementary School. 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. During the visit, I observed the children engaged in group time. The teacher and children were sharing the disguised turkeys that the children created. After group time, the group transitioned to free play with blocks, manipulatives, number puzzle, dramatic play, and books. When free play concluded, the group lined up to transition to the restroom and the cafeteria. The group washed hands and used the hallway restrooms prior to lunch. While the children were lining up in the hallway, I observed five (5) electrical outlets were uncovered on a power strip located under the television in the hallway outside of the restrooms. We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Lunch today consisted of pizza, pinto beans, fruit cocktail, broccoli cheese soup, and milk. After lunch, the group used the restroom, washed hands, and returned to class to prepare for nap. The children and staff put out the cots. The children got their belongings and lay down. The staff turned off the lights, using natural lighting and calming music to assist the children with resting. Staff and children files were monitored. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:45 p.m. I followed back up with the teacher assistant regarding the status of the completion of CDA. The CDA coursework was complete and the final observation was conducted in May 22,2025. The teacher assistant now currently holds a valid CDA to meet NC Pre-K teacher assistance education requirements. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the district/facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. McKinney requests ideally to have the environment rating scale conducted prior to the end of this school year. She will keep me updated on the status of training and when she is ready for the assessment. All facility license are to be reassessed by December 31, 2026. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not observed posted in the classroom. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** 10A NCAC 09 .0604(c) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 415- A daily schedule was not observed posted in the classroom. We discussed that a daily schedule is required to be posted for the parents and staff to reference. The teacher posted the daily schedule during the visit. Rule Reference: G.S. 110-91(12);.0508(a) Item 812- Five (5) electrical outlets were observed uncovered, on a power strip located under the television in the hallway outside of the restrooms. **REPEAT VIOLATION** We discussed carrying extra outlet covers with you while you are moving about the school to cover any open outlets or to remove the power strip. The administrator removed the power strip during the visit. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the five (5) staff, including the administrator, that are hired by Riverside Pre-Kindergarten. We discussed that the central office is handling the roster for each school, but the staff who complete the training are required to verify the currently employed staff roster. Each licensed child care program must have an active list showing the currently employed staff members, including bus drivers, substitutes, and therapists. 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. 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 11/28/2025. 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 discussed the letter of compliance is due on November 28, 2025, which falls the day after Thanksgiving. To ensure timely submission, please plan to provide the letter prior to the Thanksgiving holiday. If you encounter any barriers to achieving compliance, it is essential that you communicate with me directly by phone or email so we can discuss next steps. Reminder- Staff member hired 8/1/2020 criminal background check qualifying letter is due to be renewed by 5/27/2026. Staff member hired 10/25/2025, on-going training hours are due by 10/25/2026. -All children’s files had completed emergency information. We discussed that staff would need to ensure that the parents answer the health care needs questions and if the questions do not apply to the child, the parent will need to note not applicable. -Handwashing posters should be posted at all sinks the children use, including the hallway bathrooms. -Outdoor time was not observed today, but the daily scheduled documents that the class goes outside from 2:00p-2:40p. Just a reminder, the class would need to go outside in two (2) different groups as the space capacity for the playground is only approved for ten (10) children. The facility will need to submit a plan for how this is routinely handled to me to have on file. 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 .0604 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 9 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 122 Time In: 10:28 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced 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 Melinda McKinney, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Melinda McKinney, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/25/2024. 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 – Five (5) Star Rated License issued 12/30/2019 Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last fire drill was practiced on 3/25/2025. The last emergency drill, lockdown drill, was practiced on 1/30/2025. The next emergency drill is due by 4/30/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/5/2025, with seven (7) demerits. The last lead water testing was completed on 6/8/2021. The lead water testing was due to be completed on 6/8/2024. 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 current and posted. During the visit, I observed the children engaged in free play with blocks, dramatic play, puzzles, and art. After free play, the children cleaned up and went to the carpet. Then the children lined up to transition to the restroom and lunch. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher covered the electrical plugs during the visit. Lunch today consisted of cheeseburger, lettuce, tomato, pinto bean, raisins, and milk. At 11:45a, the class transitioned back to the classroom after lunch and used the restroom to prepare for nap time. Once in the classroom the children got their nap items, and the teachers assisted with putting out the cots. 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. During the previous visit on 11/25/2024, Ms. McKinney was working on the NC Pre-K Site Monitoring Tool. Since that visit, the NC Pre-K Unit has provided additional guidance stating that the 2024-2025 NC Pre-K Site Monitoring Tool would not be required due to Tropical Storm Helene. During today’s visit, I followed up with the teacher assistant on education requirements for NC Pre-K. The lead teacher stated that the teacher assistant had completed the CDA coursework and was waiting for her observation to complete the CDA requirements. We discussed that NC Pre-K does require that teacher assistants hold a CDA or AAS degree. The following violation of child care requirements was observed today: Violation Number Comment Rule 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. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 812 While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher put a safety outlet plug in the uncovered outlets during the visit. We discussed when an item is unplugged to ensure that a safety outlet plug replaces the electrical plug that was removed from the outlet to prevent a child from being injured. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: Reminder staff member MM First Aid and CPR training is due to be renewed by 6/2025. Staff member CF is due to complete on-going training requirements by 10/25/2026. 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 .0304 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 9 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 122 Time In: 10:28 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced 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 Melinda McKinney, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Melinda McKinney, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/25/2024. 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 – Five (5) Star Rated License issued 12/30/2019 Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last fire drill was practiced on 3/25/2025. The last emergency drill, lockdown drill, was practiced on 1/30/2025. The next emergency drill is due by 4/30/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/5/2025, with seven (7) demerits. The last lead water testing was completed on 6/8/2021. The lead water testing was due to be completed on 6/8/2024. 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 current and posted. During the visit, I observed the children engaged in free play with blocks, dramatic play, puzzles, and art. After free play, the children cleaned up and went to the carpet. Then the children lined up to transition to the restroom and lunch. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher covered the electrical plugs during the visit. Lunch today consisted of cheeseburger, lettuce, tomato, pinto bean, raisins, and milk. At 11:45a, the class transitioned back to the classroom after lunch and used the restroom to prepare for nap time. Once in the classroom the children got their nap items, and the teachers assisted with putting out the cots. 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. During the previous visit on 11/25/2024, Ms. McKinney was working on the NC Pre-K Site Monitoring Tool. Since that visit, the NC Pre-K Unit has provided additional guidance stating that the 2024-2025 NC Pre-K Site Monitoring Tool would not be required due to Tropical Storm Helene. During today’s visit, I followed up with the teacher assistant on education requirements for NC Pre-K. The lead teacher stated that the teacher assistant had completed the CDA coursework and was waiting for her observation to complete the CDA requirements. We discussed that NC Pre-K does require that teacher assistants hold a CDA or AAS degree. The following violation of child care requirements was observed today: Violation Number Comment Rule 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. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 812 While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher put a safety outlet plug in the uncovered outlets during the visit. We discussed when an item is unplugged to ensure that a safety outlet plug replaces the electrical plug that was removed from the outlet to prevent a child from being injured. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: Reminder staff member MM First Aid and CPR training is due to be renewed by 6/2025. Staff member CF is due to complete on-going training requirements by 10/25/2026. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 9 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 122 Time In: 10:28 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced 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 Melinda McKinney, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Melinda McKinney, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/25/2024. 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 – Five (5) Star Rated License issued 12/30/2019 Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last fire drill was practiced on 3/25/2025. The last emergency drill, lockdown drill, was practiced on 1/30/2025. The next emergency drill is due by 4/30/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/5/2025, with seven (7) demerits. The last lead water testing was completed on 6/8/2021. The lead water testing was due to be completed on 6/8/2024. 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 current and posted. During the visit, I observed the children engaged in free play with blocks, dramatic play, puzzles, and art. After free play, the children cleaned up and went to the carpet. Then the children lined up to transition to the restroom and lunch. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher covered the electrical plugs during the visit. Lunch today consisted of cheeseburger, lettuce, tomato, pinto bean, raisins, and milk. At 11:45a, the class transitioned back to the classroom after lunch and used the restroom to prepare for nap time. Once in the classroom the children got their nap items, and the teachers assisted with putting out the cots. 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. During the previous visit on 11/25/2024, Ms. McKinney was working on the NC Pre-K Site Monitoring Tool. Since that visit, the NC Pre-K Unit has provided additional guidance stating that the 2024-2025 NC Pre-K Site Monitoring Tool would not be required due to Tropical Storm Helene. During today’s visit, I followed up with the teacher assistant on education requirements for NC Pre-K. The lead teacher stated that the teacher assistant had completed the CDA coursework and was waiting for her observation to complete the CDA requirements. We discussed that NC Pre-K does require that teacher assistants hold a CDA or AAS degree. The following violation of child care requirements was observed today: Violation Number Comment Rule 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. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 812 While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher put a safety outlet plug in the uncovered outlets during the visit. We discussed when an item is unplugged to ensure that a safety outlet plug replaces the electrical plug that was removed from the outlet to prevent a child from being injured. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: Reminder staff member MM First Aid and CPR training is due to be renewed by 6/2025. Staff member CF is due to complete on-going training requirements by 10/25/2026. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 9 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 122 Time In: 10:28 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced 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 Melinda McKinney, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Melinda McKinney, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/25/2024. 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 – Five (5) Star Rated License issued 12/30/2019 Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last fire drill was practiced on 3/25/2025. The last emergency drill, lockdown drill, was practiced on 1/30/2025. The next emergency drill is due by 4/30/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/5/2025, with seven (7) demerits. The last lead water testing was completed on 6/8/2021. The lead water testing was due to be completed on 6/8/2024. 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 current and posted. During the visit, I observed the children engaged in free play with blocks, dramatic play, puzzles, and art. After free play, the children cleaned up and went to the carpet. Then the children lined up to transition to the restroom and lunch. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher covered the electrical plugs during the visit. Lunch today consisted of cheeseburger, lettuce, tomato, pinto bean, raisins, and milk. At 11:45a, the class transitioned back to the classroom after lunch and used the restroom to prepare for nap time. Once in the classroom the children got their nap items, and the teachers assisted with putting out the cots. 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. During the previous visit on 11/25/2024, Ms. McKinney was working on the NC Pre-K Site Monitoring Tool. Since that visit, the NC Pre-K Unit has provided additional guidance stating that the 2024-2025 NC Pre-K Site Monitoring Tool would not be required due to Tropical Storm Helene. During today’s visit, I followed up with the teacher assistant on education requirements for NC Pre-K. The lead teacher stated that the teacher assistant had completed the CDA coursework and was waiting for her observation to complete the CDA requirements. We discussed that NC Pre-K does require that teacher assistants hold a CDA or AAS degree. The following violation of child care requirements was observed today: Violation Number Comment Rule 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. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 812 While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher put a safety outlet plug in the uncovered outlets during the visit. We discussed when an item is unplugged to ensure that a safety outlet plug replaces the electrical plug that was removed from the outlet to prevent a child from being injured. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: Reminder staff member MM First Aid and CPR training is due to be renewed by 6/2025. Staff member CF is due to complete on-going training requirements by 10/25/2026. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 9 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 122 Time In: 10:28 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced 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 Melinda McKinney, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Melinda McKinney, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/25/2024. 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 – Five (5) Star Rated License issued 12/30/2019 Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last fire drill was practiced on 3/25/2025. The last emergency drill, lockdown drill, was practiced on 1/30/2025. The next emergency drill is due by 4/30/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/5/2025, with seven (7) demerits. The last lead water testing was completed on 6/8/2021. The lead water testing was due to be completed on 6/8/2024. 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 current and posted. During the visit, I observed the children engaged in free play with blocks, dramatic play, puzzles, and art. After free play, the children cleaned up and went to the carpet. Then the children lined up to transition to the restroom and lunch. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher covered the electrical plugs during the visit. Lunch today consisted of cheeseburger, lettuce, tomato, pinto bean, raisins, and milk. At 11:45a, the class transitioned back to the classroom after lunch and used the restroom to prepare for nap time. Once in the classroom the children got their nap items, and the teachers assisted with putting out the cots. 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. During the previous visit on 11/25/2024, Ms. McKinney was working on the NC Pre-K Site Monitoring Tool. Since that visit, the NC Pre-K Unit has provided additional guidance stating that the 2024-2025 NC Pre-K Site Monitoring Tool would not be required due to Tropical Storm Helene. During today’s visit, I followed up with the teacher assistant on education requirements for NC Pre-K. The lead teacher stated that the teacher assistant had completed the CDA coursework and was waiting for her observation to complete the CDA requirements. We discussed that NC Pre-K does require that teacher assistants hold a CDA or AAS degree. The following violation of child care requirements was observed today: Violation Number Comment Rule 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. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 812 While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher put a safety outlet plug in the uncovered outlets during the visit. We discussed when an item is unplugged to ensure that a safety outlet plug replaces the electrical plug that was removed from the outlet to prevent a child from being injured. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: Reminder staff member MM First Aid and CPR training is due to be renewed by 6/2025. Staff member CF is due to complete on-going training requirements by 10/25/2026. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 9 Completed Date: 4/2/2025 Age: From 4 To 5 Total Minutes: 122 Time In: 10:28 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced 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 Melinda McKinney, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Melinda McKinney, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 11/25/2024. 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 – Five (5) Star Rated License issued 12/30/2019 Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last fire drill was practiced on 3/25/2025. The last emergency drill, lockdown drill, was practiced on 1/30/2025. The next emergency drill is due by 4/30/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/5/2025, with seven (7) demerits. The last lead water testing was completed on 6/8/2021. The lead water testing was due to be completed on 6/8/2024. 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 current and posted. During the visit, I observed the children engaged in free play with blocks, dramatic play, puzzles, and art. After free play, the children cleaned up and went to the carpet. Then the children lined up to transition to the restroom and lunch. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher covered the electrical plugs during the visit. Lunch today consisted of cheeseburger, lettuce, tomato, pinto bean, raisins, and milk. At 11:45a, the class transitioned back to the classroom after lunch and used the restroom to prepare for nap time. Once in the classroom the children got their nap items, and the teachers assisted with putting out the cots. 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. During the previous visit on 11/25/2024, Ms. McKinney was working on the NC Pre-K Site Monitoring Tool. Since that visit, the NC Pre-K Unit has provided additional guidance stating that the 2024-2025 NC Pre-K Site Monitoring Tool would not be required due to Tropical Storm Helene. During today’s visit, I followed up with the teacher assistant on education requirements for NC Pre-K. The lead teacher stated that the teacher assistant had completed the CDA coursework and was waiting for her observation to complete the CDA requirements. We discussed that NC Pre-K does require that teacher assistants hold a CDA or AAS degree. The following violation of child care requirements was observed today: Violation Number Comment Rule 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. While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 812 While monitoring the classroom, I observed two (2) uncovered electrical outlets on the power strip under the teacher’s desk. One (1) uncovered electrical outlet to the left of the exterior door behind the Huggies wipe box on the table. The lead teacher put a safety outlet plug in the uncovered outlets during the visit. We discussed when an item is unplugged to ensure that a safety outlet plug replaces the electrical plug that was removed from the outlet to prevent a child from being injured. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: Reminder staff member MM First Aid and CPR training is due to be renewed by 6/2025. Staff member CF is due to complete on-going training requirements by 10/25/2026. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 10 Completed Date: 11/25/2024 Age: From 4 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 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 me, Karla Terry, Child Care Consultant and also signed by Melinda McKinney, Lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Melinda Mckinney, Lead Teacher and Whitney Phillips, Administrator 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-six percent (86%) as of 11/20/2024. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License issued 12/30/2019. Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last annual compliance visit was conducted on 11/30/2023. The last fire drill was practiced on 8/20/2024. A fire drill was not conducted for the month of September or October due to Tropical Storm Helene. A drill is scheduled for November. The last lockdown drill was practiced on 8/27/2024. An emergency drill is due by November 30, 2024. The last playground inspection was documented on 9/20/2024. A playground inspection was not completed for the month of October due to Tropical Storm Helene. An inspection will need to be completed by November 30, 2024. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email. Mr. Gardner stated that they are severely understaffed and with the Hurricane recovery they are doing the best they can. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. During the visit, I observed the children engaged in free play with free art, blocks, and manipulatives. While the children were engaged in play, the teacher moved about the indoor space engaging in conversations and actively supervising. One (1) teacher engaged in a one-on-one activity with the children while assisting supervising the children. At 10:30am, Ms. Phillips arrived in the classroom to check-in. After free play, the children cleaned up and prepared for lunch. Lunch today consisted of cheese sticks, marinara, corn, broccoli, apple, and milk. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock but the lock would not lock. The staff found a new lock to replace the current one and lock the cabinet. 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. The lead teacher stated that the main office was working on completing the Site Monitoring Tool. I will review the site monitoring tool during my next visit. Two (2) children’s files were monitored today. One (1) child was missing the dental screening. When I asked the teacher about the dental screening, she stated that the child did enroll later and would reach out to mom and the health care coordinator to get the screening scheduled. We discussed a timeline for completion. The teacher stated she could get this completed within the next thirty (30) days, if she is unable to meet this deadline she will reach out to me. The classroom operates from 7:30 a.m. to 2:30 p.m. We discussed the teacher assistant education requirements for NC Pre-Kindergarten during the visit. The new teacher assistant that was hired 10/25/2024 will begin early childhood course work during the spring 2025 semester. While monitoring staff files, I observed staff member hired 10/25/2024 criminal background check letter was dated 11/1/2024. The teacher stated that the staff member was hired while the facility was closed due to Tropical Storm Helene and the staff members qualifying letter was received prior to caring for children. The first day the children returned to school was 11/6/2024. 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 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. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. .2820(b) Technical assistance was provided as follows: Item #840 While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock, but the lock would not latch. The staff found a new lock to replace the current one and lock the cabinet. Rule Reference: 15A NCAC 18A.2820(b) Consultation is provided as follows: We reviewed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. Handwashing posters need to be posted at each of the handwashing sinks. Staff member hired 10/25/2024 will need to complete First Aid and CPR training on or before 1/23/2025. 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 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 .1102 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 10 Completed Date: 11/25/2024 Age: From 4 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 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 me, Karla Terry, Child Care Consultant and also signed by Melinda McKinney, Lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Melinda Mckinney, Lead Teacher and Whitney Phillips, Administrator 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-six percent (86%) as of 11/20/2024. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License issued 12/30/2019. Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last annual compliance visit was conducted on 11/30/2023. The last fire drill was practiced on 8/20/2024. A fire drill was not conducted for the month of September or October due to Tropical Storm Helene. A drill is scheduled for November. The last lockdown drill was practiced on 8/27/2024. An emergency drill is due by November 30, 2024. The last playground inspection was documented on 9/20/2024. A playground inspection was not completed for the month of October due to Tropical Storm Helene. An inspection will need to be completed by November 30, 2024. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email. Mr. Gardner stated that they are severely understaffed and with the Hurricane recovery they are doing the best they can. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. During the visit, I observed the children engaged in free play with free art, blocks, and manipulatives. While the children were engaged in play, the teacher moved about the indoor space engaging in conversations and actively supervising. One (1) teacher engaged in a one-on-one activity with the children while assisting supervising the children. At 10:30am, Ms. Phillips arrived in the classroom to check-in. After free play, the children cleaned up and prepared for lunch. Lunch today consisted of cheese sticks, marinara, corn, broccoli, apple, and milk. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock but the lock would not lock. The staff found a new lock to replace the current one and lock the cabinet. 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. The lead teacher stated that the main office was working on completing the Site Monitoring Tool. I will review the site monitoring tool during my next visit. Two (2) children’s files were monitored today. One (1) child was missing the dental screening. When I asked the teacher about the dental screening, she stated that the child did enroll later and would reach out to mom and the health care coordinator to get the screening scheduled. We discussed a timeline for completion. The teacher stated she could get this completed within the next thirty (30) days, if she is unable to meet this deadline she will reach out to me. The classroom operates from 7:30 a.m. to 2:30 p.m. We discussed the teacher assistant education requirements for NC Pre-Kindergarten during the visit. The new teacher assistant that was hired 10/25/2024 will begin early childhood course work during the spring 2025 semester. While monitoring staff files, I observed staff member hired 10/25/2024 criminal background check letter was dated 11/1/2024. The teacher stated that the staff member was hired while the facility was closed due to Tropical Storm Helene and the staff members qualifying letter was received prior to caring for children. The first day the children returned to school was 11/6/2024. 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 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. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. .2820(b) Technical assistance was provided as follows: Item #840 While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock, but the lock would not latch. The staff found a new lock to replace the current one and lock the cabinet. Rule Reference: 15A NCAC 18A.2820(b) Consultation is provided as follows: We reviewed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. Handwashing posters need to be posted at each of the handwashing sinks. Staff member hired 10/25/2024 will need to complete First Aid and CPR training on or before 1/23/2025. 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 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 10 Completed Date: 11/25/2024 Age: From 4 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 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 me, Karla Terry, Child Care Consultant and also signed by Melinda McKinney, Lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Melinda Mckinney, Lead Teacher and Whitney Phillips, Administrator 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-six percent (86%) as of 11/20/2024. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License issued 12/30/2019. Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last annual compliance visit was conducted on 11/30/2023. The last fire drill was practiced on 8/20/2024. A fire drill was not conducted for the month of September or October due to Tropical Storm Helene. A drill is scheduled for November. The last lockdown drill was practiced on 8/27/2024. An emergency drill is due by November 30, 2024. The last playground inspection was documented on 9/20/2024. A playground inspection was not completed for the month of October due to Tropical Storm Helene. An inspection will need to be completed by November 30, 2024. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email. Mr. Gardner stated that they are severely understaffed and with the Hurricane recovery they are doing the best they can. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. During the visit, I observed the children engaged in free play with free art, blocks, and manipulatives. While the children were engaged in play, the teacher moved about the indoor space engaging in conversations and actively supervising. One (1) teacher engaged in a one-on-one activity with the children while assisting supervising the children. At 10:30am, Ms. Phillips arrived in the classroom to check-in. After free play, the children cleaned up and prepared for lunch. Lunch today consisted of cheese sticks, marinara, corn, broccoli, apple, and milk. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock but the lock would not lock. The staff found a new lock to replace the current one and lock the cabinet. 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. The lead teacher stated that the main office was working on completing the Site Monitoring Tool. I will review the site monitoring tool during my next visit. Two (2) children’s files were monitored today. One (1) child was missing the dental screening. When I asked the teacher about the dental screening, she stated that the child did enroll later and would reach out to mom and the health care coordinator to get the screening scheduled. We discussed a timeline for completion. The teacher stated she could get this completed within the next thirty (30) days, if she is unable to meet this deadline she will reach out to me. The classroom operates from 7:30 a.m. to 2:30 p.m. We discussed the teacher assistant education requirements for NC Pre-Kindergarten during the visit. The new teacher assistant that was hired 10/25/2024 will begin early childhood course work during the spring 2025 semester. While monitoring staff files, I observed staff member hired 10/25/2024 criminal background check letter was dated 11/1/2024. The teacher stated that the staff member was hired while the facility was closed due to Tropical Storm Helene and the staff members qualifying letter was received prior to caring for children. The first day the children returned to school was 11/6/2024. 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 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. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. .2820(b) Technical assistance was provided as follows: Item #840 While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock, but the lock would not latch. The staff found a new lock to replace the current one and lock the cabinet. Rule Reference: 15A NCAC 18A.2820(b) Consultation is provided as follows: We reviewed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. Handwashing posters need to be posted at each of the handwashing sinks. Staff member hired 10/25/2024 will need to complete First Aid and CPR training on or before 1/23/2025. 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 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 10 Completed Date: 11/25/2024 Age: From 4 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 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 me, Karla Terry, Child Care Consultant and also signed by Melinda McKinney, Lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Melinda Mckinney, Lead Teacher and Whitney Phillips, Administrator 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-six percent (86%) as of 11/20/2024. The program is operated by Avery County Schools and is located in Riverside Elementary School. Permit type – Five (5) Star Rated License issued 12/30/2019. Special Services/Restrictions – first shift, meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves special needs. The last annual compliance visit was conducted on 11/30/2023. The last fire drill was practiced on 8/20/2024. A fire drill was not conducted for the month of September or October due to Tropical Storm Helene. A drill is scheduled for November. The last lockdown drill was practiced on 8/27/2024. An emergency drill is due by November 30, 2024. The last playground inspection was documented on 9/20/2024. A playground inspection was not completed for the month of October due to Tropical Storm Helene. An inspection will need to be completed by November 30, 2024. The last fire inspection was approved on 9/12/2024. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. I reached out to Mason Gardner, Environmental Health Director for the Toe River Health District via email. Mr. Gardner stated that they are severely understaffed and with the Hurricane recovery they are doing the best they can. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/6/2024. During the visit, I observed the children engaged in free play with free art, blocks, and manipulatives. While the children were engaged in play, the teacher moved about the indoor space engaging in conversations and actively supervising. One (1) teacher engaged in a one-on-one activity with the children while assisting supervising the children. At 10:30am, Ms. Phillips arrived in the classroom to check-in. After free play, the children cleaned up and prepared for lunch. Lunch today consisted of cheese sticks, marinara, corn, broccoli, apple, and milk. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock but the lock would not lock. The staff found a new lock to replace the current one and lock the cabinet. 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. The lead teacher stated that the main office was working on completing the Site Monitoring Tool. I will review the site monitoring tool during my next visit. Two (2) children’s files were monitored today. One (1) child was missing the dental screening. When I asked the teacher about the dental screening, she stated that the child did enroll later and would reach out to mom and the health care coordinator to get the screening scheduled. We discussed a timeline for completion. The teacher stated she could get this completed within the next thirty (30) days, if she is unable to meet this deadline she will reach out to me. The classroom operates from 7:30 a.m. to 2:30 p.m. We discussed the teacher assistant education requirements for NC Pre-Kindergarten during the visit. The new teacher assistant that was hired 10/25/2024 will begin early childhood course work during the spring 2025 semester. While monitoring staff files, I observed staff member hired 10/25/2024 criminal background check letter was dated 11/1/2024. The teacher stated that the staff member was hired while the facility was closed due to Tropical Storm Helene and the staff members qualifying letter was received prior to caring for children. The first day the children returned to school was 11/6/2024. 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 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. While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. .2820(b) Technical assistance was provided as follows: Item #840 While monitoring the indoor space, I observed the tall cabinet to the right of the classroom sink was unlocked. The cabinet contained Clorox wipes. The staff attempted to lock the master lock, but the lock would not latch. The staff found a new lock to replace the current one and lock the cabinet. Rule Reference: 15A NCAC 18A.2820(b) Consultation is provided as follows: We reviewed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. 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. Handwashing posters need to be posted at each of the handwashing sinks. Staff member hired 10/25/2024 will need to complete First Aid and CPR training on or before 1/23/2025. 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 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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 .0604 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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 .0701 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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 .1103 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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 .2703 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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. 110-91 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 15 Completed Date: 5/1/2024 Age: From 4 To 5 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 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. I was escorted to the classroom by the school secretary and was greeted by Melinda McKinney, Lead Teacher. Ms. Whitney Baird Phillips, Principal/Administrator arrived in the classroom 10:03am. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Melinda McKinney, Lead Teacher, and Whitney Baird Phillips, Principal/Administrator were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/30/2023. 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 blocks, dramatic play dress-up, free art, and teacher directed art Mother’s Day activity. While observing the children, the administrator arrived, I discussed the reason for the visit and the need to have a legal designee completed for the lead teacher. Ms. Phillips also stated that she recently got married and will need to update her name. Ms. Phillips also stated that the Pre-k teacher assistant was currently student teaching in the Kindergarten classroom. They have switched the Kindergarten teacher assistant and the Pre-K teacher assistant for this half of the school year. Today, the Kindergarten teacher assistant was not currently present, and a substitute teacher was present. The substitute teacher McKayla Brewer did not have a criminal background check qualifying letter on-site and I viewed the ABCMS system to see if a valid qualifying letter was on file with DHHS. There were no records of this staff member. When free choice center play concluded, the teacher called a child to ring the bell. The lead teacher instructed the children to clean up and come to the carpet. While the children were on the carpet the lead teacher was putting out their cots. The substitute teacher was calling the children one (1) at a time to get their nap time belonging to put on their cots. Once all the cots were out each child was called to line up to prepare to go to lunch. When all the children were in line, the lead teacher led the class to the restrooms. The administrator checked back in with the class as they exited to go to the restroom. I discussed with the administrator the substitute was on-site without a valid criminal background check qualifying letter and would need to complete the online process. Prior to lunch, the class used the restroom and washed their hands in the hallway restrooms. The staff were observed washing their hands as well prior to going to lunch. Once in the cafeteria, the children sat at the tables and the staff and administrator served the children their trays. Lunch today consisted of hotdog, pinto beans, tater tots, banana, graham bugs, and milk. The menu posted in the classroom documented hotdog, coleslaw, pinto beans, fries, apples, graham bugs, and milk. The staff did update the menu during the visit. After lunch, the children used the restroom and prepared to transition outdoors to ride the trikes on the back paved area near the school-age children’s playground. Once outdoors, the lead teacher called the children one (1) at a time to get a trike from the storage building. When the children got their trike they began riding the trike on the pavement. While observing the children riding the trikes, I observed a construction area that was not inaccessible to the children. I observed sharp pieces of wood, bolts, nuts, and a ladder accessible to the children. One (1) child was observed running in the construction area to try to catch a butterfly. The substitute teacher attempted to re-direct the children, and the lead teacher called the child to her, and they sat down at the picnic table to discuss that it was not safe to be running in the construction area. The lead teacher and I discussed how often they use this area and the need for a protective barrier to make the construction area inaccessible to the children. When outdoor time concluded, the children brought their trike to the lead teacher who put the trikes away in the storage building. The children then stood with the substitute teacher. When all trikes were put away, the children lined up and transitioned indoors to use the restroom and wash hands. Once at the restroom, the children and staff washed their hands prior to nap. After all the children washed their hands, the class transitioned to the classroom to get on their cots for nap. During nap, the staff assisted children with calming down by playing calming music and rubbing their backs if needed. The last fire drill was practiced on 4/29/2024. The last emergency drill, lockdown drill, was practiced on 2/13/2024. An emergency drill will need to be conducted by 5/30/2024. The last fire inspection was approved on 8/22/2023. The program’s most recent sanitation inspection was completed on 9/25/2023 with two (2) demerits for a superior classification. 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. During the visit, I observed a substitute providing care to the children enrolled. I asked the lead teacher about a file for the substitute. She stated that she did not have one on-site. The only file the staff members has was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the substitute present during today’s visit. I reviewed the ABCMS online portal to see if the substitute had a current criminal background check qualifying letter on file. The substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. Three (3) staff members’ health questionnaire and emergency information was not on-site for review. Staff members hired 4/29/24, 8/1/2020, and 6/11/2012. Staff member hired 6/11/2012 ongoing training hours, health and safety trainings, First Aid and CPR were not current and of file for review. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. 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 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. .0604(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. .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 members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. One (1) Staff members hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member hired 6/11/2012 First Aid expired 5/2022. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member hired 6/11/2012 CPR expired 5/2022. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. .1103(a) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. .1102(a) 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 5/15/2024. 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 #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Outside at the back of the school on the pavement a construction area was accessible to the children while they engaged in play with the trikes. One (1) child was observed running in the construction area to attempt to catch a butterfly. I suggest if the class will continue to use this area that a temporary fence be installed to make the construction area inaccessible to the children. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff member hired 8/1/2020 and staff member hired 6/11/2012 health questionnaire form was not updated annually. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #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. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 8/1/2020 emergency information form was not updated annually. The staff member completed this during the visit. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - One (1) staff member hired on 4/29/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the one (1) staff members hired 4/29/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that contains each of the required documents per the substitute checklist. Item #1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 First Aid expired 5/2022. I recommend documenting First Aid training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. - Staff member hired 6/11/2012 CPR expired 5/2022. I recommend documenting CPR training expiration dates on a calendar to remind you when the staff members are due to recertify. Item #1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually, as follows: Education and Experience Four-year degree or higher advanced degree in a child care related field of study from a regionally accredited college or university Required Training: 5 clock hours Two-year degree in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Administration Credential Required Training: 8 clock hours Certificate or diploma in a child care related field of study from a regionally accredited college or university, or persons with a North Carolina Early Childhood Credential Required Training: 10 clock hours 10 years documented experience as a teacher, director, or caregiver in a licensed child care arrangement Required Training: 15 clock hours If none of the other criteria in this chart apply Required Training: 20 clock hours - Staff member hired 6/11/2012 did not completed the required number of hours according to their education and experience. Completion certificates or training transcript was not on file for review. I recommend having each staff member print their training certificates to keep on file for review. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff member M. Brewer hired 4/29/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. - Staff member hired 6/11/2012 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A completion certificate was not on file for review. I recommend documenting training date deadlines on a training calendar as a reminder to ensure staff complete the training within ninety (90) days of employment. Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member hired 6/11/2012 did not complete the health and safety training within one year of employment. Completion certificates were not on file for review. I recommend ensuring staff print completion certificates and keep on-site for review. 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. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Medial documents and health questionnaires should be kept in a separate confidential file. 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 .0604 · Violation

Name of Operation: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: RIVERSIDE PRE-KINDERGARTEN Facility ID: 06000032 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 13 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 235 Time In: 09:40 AM Time Out: 01:35 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 handwritten visit summary was completed today due to connectivity issues. The handwritten visit summary was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Melinda McKinney, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Whitney Baird was available. Mrs. Baird was conducting morning duties. I walked to the classroom and was greeted by Melinda McKinney, Lead Teacher at the classroom and explained the reason for today’s visit. Melinda McKinney, Lead Teacher, and Whitney Baird, Principal/Administrator 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 ninety percent (90%) as of 11/29/2023. This program is operated by Avery County Schools and is located in Riverside Elementary School, and currently operates with a Five (5) Star Rated License effective 12/30/2019. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/17/2023. The last fire drill was practiced on 11/14/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/29/2023. The last fire inspection was approved on 8/22/2023. The last sanitation inspection was conducted on 9/25/2023 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in group time activity when I arrived. After group time, the children transitioned to free choice center play with blocks, art, toy animals, dramatic play, and books. The staff were actively supervising the children while moving about the indoor area engaging in play and conversations with the children. Ms. McKinney rang a bell to give the children a five (5) minute warning before it was time to clean up centers and prepare for lunch. The children began cleaning up and when the time was up, the children got in line to transition to the restroom to wash hands before lunch. Then the group transitioned to the for lunch. Upon arrival into the cafeteria, the children sat at the tables and the staff served the children their lunch tray. After lunch, the children used the restroom, washed hands, and transitioned to the classroom for nap. Lunch today consisted of beef philly with cheese sub, french fries, broccoli, apple, and milk. 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 7:30 a.m. to 2:30 p.m. Parent conferences are held one (1) time per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter and all calls are made to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by keep a family engagement log of events that have been conducted. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. Outdoor measurements and a drawing was completed during the visit. I will complete the outdoor space calculations and final diagram to submit to the provider via email. After completion of the outdoor space calculations and outdoor space diagram, the current outdoor area that pre-k is using, does not meet the space requirements in child care rules .1402 and .2809. Continued use of the current outdoor area is limited to ten (10) children at one hundred (100) square feet per child. A procedure will need to be developed and put in place where outdoor space requirements will be met at all times. I suggest dividing the group in half due to the space capacity of the approved outdoor space. I recommended during the first forty-five (45) minutes of outdoor time take group one (1). Then group two (2) will be inside engaged in free choice center play. When the first forty-five (45) minutes concludes group one (1) will clean up, line up, wash hands, and transition to free choice center play. Group two (2) will clean up, line up and transition outside. Please note, if this recommendation does not work for your group, you can adjust it to meet the needs of your class and schedule. We want to ensure you meet the outdoor space requirements and provide a safe learning environment at all times. If you are unable to have two (2) separate groups for outdoor play in order to meet outdoor space requirements, you will need to determine another outdoor space that is accessible for all the children. Failure to meet and maintain the outdoor space requirements would result in future violations. 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 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. The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - The power strip located behind the phone to the right of the teachers desk had two (2) uncovered electrical outlets. The teacher corrected during the visit. I suggest conducting a daily classroom check to ensure that all outlets are covered, including any power strips that are being used. Consultation is provided as follows: 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. - Hand washing posters should be posted at each sink the children use to wash hands. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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