10A NCAC 09 .0901 · Violation

Name of Operation: WASHINGTON COUNTY EARLY HEAD START Facility ID: 94000056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/12/2025 Number Present: 9 Completed Date: 12/12/2025 Age: From 1 To 3 Total Minutes: 190 Time In: 09:00 AM Time Out: 12:10 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 your program for compliance with applicable child care requirements for an annual compliance visit. S. Lee, Teacher, assisted me with the visit. Your program currently operates with a two-star license, issued April 7, 2020, earning 3 points in the education component, 1 point in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point for having reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was conducted on January 13, 2025. The sanitation inspection was completed May 20, 2025, with a “Superior” classification. The last fire inspection was conducted November 25, 2025, and your facility was approved for daytime care only. I received a copy of the fire inspection report during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent as of December 12, 2025. The NC Secretary of State website was reviewed on December 12, 2025, and Economic Improvement Council, Inc. was listed as current- active. I visited each indoor space and the outdoor space with me. Children enrolled in space #1 were eating breakfast, brushing teeth, engaged in morning activities, completing toileting routines, and participating in outdoor play. Children in Space #2 were completing circle time, and a coloring activity. Both groups were observed interacting with teachers during morning routines. Proper hand washing techniques were completed. Breakfast was observed and consisted of cereal, orange juice, and milk. The following violations were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Orange juice was not recorded as a substitute for bananas on the menu prior to the meal or snack being served. 10A NCAC 09 .0901(b) 618 Diaper changing surfaces were not kept free of storage. A clip board was observed on the diaper changing table in Space #1. Also, a staff member placed number cut-outs on the diaper changing table prior to posting on the wall in Space #1. A blanket and cot sheet were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for one employee hired 9/2/2025. .0302(d)(1)(A) 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. Documentation verifying completion of First Aid was not on file for one employee hired on 9/2/2025. .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. Documentation verifying completion of CPR was not on file for one employee hired on 9/2/2025. .1102(d) Comments Section – 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 violations documented were corrected during the visit; therefore, a compliance letter is not required. STAFF RECORDS: An employment application was not on file for one employee hire don 9/2/2025. You stated the application was on file in the administrative office and could be sent over via email. You provided a copy of the application prior to the end of the visit for verification and then placed in the staff file. Be reminded staff files should be complete with all documentation and onsite to ensure they are available for review and compliance is maintained. CPR/FIRST AID Documentation verifying completion of CPR/FIRST Aid was not on file for one employee hired on 9/2/2025. I reminded you that any staff providing direct care to children must complete and maintain a record of completing CPR/First Aid training from an approved agency within 90 day form the date of employment. The training should be scheduled immediately and training cards/certificates placed in the file for verification. It was suggested designating an qualified person to conduct periodic file reviews for new staff as well as current employees to ensure all required documentation is available to be reviewed during monitoring visits. This will help ensure compliance is maintained for recordkeeping. The First Aid/CPR training certificate was emailed over and placed in the file prior to the end of the visit. SANITATION & HEALTH: In Space #1, a teacher was observed placing number cut-outs on the diaper changing table to add to the wall. When asked, the teacher stated the diaper changing table was used sometimes for changing. I informed the teacher the cut-outs could not be placed on the diaper changing table and they were immediately removed. The clip board was moved also during my observation. A blanket and cot sheet were observed on the diaper changing table in Space #2. The teacher in that space indicated that the diaper changing table is not used. Be reminded the diaper changing surface must remain free of storage except those used during the diaper changing procedures. NUTRITION: Cereal, orange juice and milk were served for breakfast; however, the menu listed bananas as a component instead of orange juice. Based on my review of all menus posted, orange juice was not recorded as a substitute for the bananas on the menu prior to the meal or snack being served. I informed the cook the item must be recorded as a change prior to providing the component to the children. I also reviewed the substitution sheets for each space and there was no documentation for meals served today. This item was corrected as the cook made the necessary changes and added to the classroom substitution sheets. QRIS CONVERSATION: A meeting was conducted with all Head Start administrative staff on September 22, 2025, to review and discuss the QRIS transition plan and pathways. During the meeting information was shared about the three pathways and requirements. Applications requesting completion for the QRIS Pathway to the Stars have been emailed to the Head Start director. The Director was encouraged to complete the application and submit it when ready to begin the transition process. If additional information, guidance, or assistance is needed, please contact me to discuss. If you would like to learn more about the QRIS changes and section .3200 of the child care rules? Visit the Division of Child Development and Early Education (DCDEE) website and check out the information posted on the QRIS modernization page. You can also view the application for the two through five star rated license assessment posted on the DCDEE website within the provider document tab. CHILD CARE ACADEMIES: To address significant staffing shortages and high turnover rates in North Carolina's early childhood education sector, DCDEE is partnering with 16 higher education institutions across the NC Community College System and University of North Carolina system to establish Child Care Academies (CCA). These academies enhance educator competencies, provide comprehensive training, and offer ongoing support at no cost to participants. Each academy delivers a comprehensive curriculum that meets or exceeds DCDEE training standards for new child care professionals and includes information related to Quality Rating Improvement System (QRIS) program standards. Training includes CPR/First Aid, Health and Safety, Infant/Toddler Safe Sleep and Sudden Infant Death Syndrome (ITS-SIDS), Playground Safety, Recognizing and Responding to Suspicions of Child Maltreatment, and instruction on the Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) and Early Childhood Environment Rating Scale, Third Edition (ECERS-3). Participants also receive an overview of North Carolina Foundations for Early Learning and Development and support in completing DHHS Criminal Qualifying Background Checks. The academies offer training in multiple formats across various counties to ensure statewide accessibility, incorporating both virtual and in-person learning opportunities. This initiative aligns with North Carolina's Preschool Development Grant Birth through 5 (PDG B-5) goals of expanding access to high-quality early learning programs and supporting workforce development, contributing to long-term workforce stabilization and strengthening the economic infrastructure by enabling parents to remain in the workforce. Interested in learning more about Child Care Academies? Visit Preschool Development Grant - Birth through Five (PDG B-5) for more information and the Child Care Academies Contact List for participating colleges and universities. REMINDERS: Licensing Fees payments were due on December 3, 2025. If you have not already done so, visit the website to pay the fees. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: WASHINGTON COUNTY EARLY HEAD START Facility ID: 94000056 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/12/2025 Number Present: 9 Completed Date: 12/12/2025 Age: From 1 To 3 Total Minutes: 190 Time In: 09:00 AM Time Out: 12:10 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 your program for compliance with applicable child care requirements for an annual compliance visit. S. Lee, Teacher, assisted me with the visit. Your program currently operates with a two-star license, issued April 7, 2020, earning 3 points in the education component, 1 point in the program standards component (meeting enhanced space and enhanced ratios) and 1 quality point for having reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was conducted on January 13, 2025. The sanitation inspection was completed May 20, 2025, with a “Superior” classification. The last fire inspection was conducted November 25, 2025, and your facility was approved for daytime care only. I received a copy of the fire inspection report during the visit. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent as of December 12, 2025. The NC Secretary of State website was reviewed on December 12, 2025, and Economic Improvement Council, Inc. was listed as current- active. I visited each indoor space and the outdoor space with me. Children enrolled in space #1 were eating breakfast, brushing teeth, engaged in morning activities, completing toileting routines, and participating in outdoor play. Children in Space #2 were completing circle time, and a coloring activity. Both groups were observed interacting with teachers during morning routines. Proper hand washing techniques were completed. Breakfast was observed and consisted of cereal, orange juice, and milk. The following violations were documented: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Orange juice was not recorded as a substitute for bananas on the menu prior to the meal or snack being served. 10A NCAC 09 .0901(b) 618 Diaper changing surfaces were not kept free of storage. A clip board was observed on the diaper changing table in Space #1. Also, a staff member placed number cut-outs on the diaper changing table prior to posting on the wall in Space #1. A blanket and cot sheet were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 1030 Application for employment and date of birth was not on file for all staff. An application was not on file for one employee hired 9/2/2025. .0302(d)(1)(A) 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. Documentation verifying completion of First Aid was not on file for one employee hired on 9/2/2025. .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. Documentation verifying completion of CPR was not on file for one employee hired on 9/2/2025. .1102(d) Comments Section – 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 violations documented were corrected during the visit; therefore, a compliance letter is not required. STAFF RECORDS: An employment application was not on file for one employee hire don 9/2/2025. You stated the application was on file in the administrative office and could be sent over via email. You provided a copy of the application prior to the end of the visit for verification and then placed in the staff file. Be reminded staff files should be complete with all documentation and onsite to ensure they are available for review and compliance is maintained. CPR/FIRST AID Documentation verifying completion of CPR/FIRST Aid was not on file for one employee hired on 9/2/2025. I reminded you that any staff providing direct care to children must complete and maintain a record of completing CPR/First Aid training from an approved agency within 90 day form the date of employment. The training should be scheduled immediately and training cards/certificates placed in the file for verification. It was suggested designating an qualified person to conduct periodic file reviews for new staff as well as current employees to ensure all required documentation is available to be reviewed during monitoring visits. This will help ensure compliance is maintained for recordkeeping. The First Aid/CPR training certificate was emailed over and placed in the file prior to the end of the visit. SANITATION & HEALTH: In Space #1, a teacher was observed placing number cut-outs on the diaper changing table to add to the wall. When asked, the teacher stated the diaper changing table was used sometimes for changing. I informed the teacher the cut-outs could not be placed on the diaper changing table and they were immediately removed. The clip board was moved also during my observation. A blanket and cot sheet were observed on the diaper changing table in Space #2. The teacher in that space indicated that the diaper changing table is not used. Be reminded the diaper changing surface must remain free of storage except those used during the diaper changing procedures. NUTRITION: Cereal, orange juice and milk were served for breakfast; however, the menu listed bananas as a component instead of orange juice. Based on my review of all menus posted, orange juice was not recorded as a substitute for the bananas on the menu prior to the meal or snack being served. I informed the cook the item must be recorded as a change prior to providing the component to the children. I also reviewed the substitution sheets for each space and there was no documentation for meals served today. This item was corrected as the cook made the necessary changes and added to the classroom substitution sheets. QRIS CONVERSATION: A meeting was conducted with all Head Start administrative staff on September 22, 2025, to review and discuss the QRIS transition plan and pathways. During the meeting information was shared about the three pathways and requirements. Applications requesting completion for the QRIS Pathway to the Stars have been emailed to the Head Start director. The Director was encouraged to complete the application and submit it when ready to begin the transition process. If additional information, guidance, or assistance is needed, please contact me to discuss. If you would like to learn more about the QRIS changes and section .3200 of the child care rules? Visit the Division of Child Development and Early Education (DCDEE) website and check out the information posted on the QRIS modernization page. You can also view the application for the two through five star rated license assessment posted on the DCDEE website within the provider document tab. CHILD CARE ACADEMIES: To address significant staffing shortages and high turnover rates in North Carolina's early childhood education sector, DCDEE is partnering with 16 higher education institutions across the NC Community College System and University of North Carolina system to establish Child Care Academies (CCA). These academies enhance educator competencies, provide comprehensive training, and offer ongoing support at no cost to participants. Each academy delivers a comprehensive curriculum that meets or exceeds DCDEE training standards for new child care professionals and includes information related to Quality Rating Improvement System (QRIS) program standards. Training includes CPR/First Aid, Health and Safety, Infant/Toddler Safe Sleep and Sudden Infant Death Syndrome (ITS-SIDS), Playground Safety, Recognizing and Responding to Suspicions of Child Maltreatment, and instruction on the Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) and Early Childhood Environment Rating Scale, Third Edition (ECERS-3). Participants also receive an overview of North Carolina Foundations for Early Learning and Development and support in completing DHHS Criminal Qualifying Background Checks. The academies offer training in multiple formats across various counties to ensure statewide accessibility, incorporating both virtual and in-person learning opportunities. This initiative aligns with North Carolina's Preschool Development Grant Birth through 5 (PDG B-5) goals of expanding access to high-quality early learning programs and supporting workforce development, contributing to long-term workforce stabilization and strengthening the economic infrastructure by enabling parents to remain in the workforce. Interested in learning more about Child Care Academies? Visit Preschool Development Grant - Birth through Five (PDG B-5) for more information and the Child Care Academies Contact List for participating colleges and universities. REMINDERS: Licensing Fees payments were due on December 3, 2025. If you have not already done so, visit the website to pay the fees. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: WASHINGTON COUNTY EARLY HEAD START Facility ID: 94000056 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 11 Completed Date: 5/7/2025 Age: From 2 To 3 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM 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. S. Lee, Lead Teacher, assisted me with today’s visit. Your program currently operates with a two-star license, issued 4/7/2020, earning 1 point in the education component, 3 points in the program standards component and 1 quality point for having a reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was conducted 1/13/25. The sanitation inspection was completed on 12/11/24 with a “Superior” classification. The last fire inspection was conducted on 11/25/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent as of 4/29/25. The NC Secretary of State website was reviewed on 4/29/25 and the Economic Improvement Council, Inc. was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children in space #2, children created Mother’s Day crafts with handprints before transitioning to the outdoor space. Children in both spaces were observed in the outdoor space playing Ring around the Rosie and playing musical instruments. The outdoor space was observed to have stationary climbers, tunnels, riding toys, large blocks, and balls for the children to engage in gross motor activities. The following violations were documented. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A table beside the shade structure on the right side of the outdoor space had edges with sharp splintered wood. G.S. 110-91(6); .0601(b) 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. In the bathroom in space #2, an unlabeled spray bottle containing Fabulouso was located on a shelf above the toilet. .2820(b) 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. On or before 5/21/25, 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 that any information submitted by you is considered 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 may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. A table beside the shade structure on the right side of the outdoor space had edges with sharp splintered wood. You stated that the table was placed on in the outdoor space for an event and had not been removed. We discussed that the table’s edges are a hazard, and you stated that you would remove the table from the outdoor space this afternoon after the children leave. Check the outdoor space each morning before the children arrive to ensure that hazards are removed. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In the bathroom in space #2, an unlabeled spray bottle containing Fabulouso was located on a shelf above the toilet. We reviewed the Storage of Hazardous Storage flyer that is posted on the wall in the classroom space together and discussed that when cleaners have additional warning in addition to keep out of reach of children, they must be locked. You immediately moved the Fabulouso to locked storage when it was brought to your attention to correct the violation. Check the classroom spaces each morning to ensure that all cleaning products are stored appropriately. Additional Comments: Moving Forward With QRIS Modernization: The Child Care Commission has taken the next step in the journey to meet the North Carolina General Assembly’s mandate in Session Law 2024-34 to modernize the state’s Quality Rating and Improvement System, voting to adopt the Quality Rating Improvement System (QRIS) Modernization Proposed Rule Amendments and Adoptions. Next, the QRIS rules will go to the Rules Review Commission (RRC) for review and approval. It is important to note that the new QRIS rules are not yet effective. However, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support transition to the new pathways to earn your Two- through Five-Star Rated License. All the newest information will be posted at QRIS Modernization and will also be provided through emails and Raise NC newsletters. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: WASHINGTON COUNTY EARLY HEAD START Facility ID: 94000056 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 11 Completed Date: 5/7/2025 Age: From 2 To 3 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM 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. S. Lee, Lead Teacher, assisted me with today’s visit. Your program currently operates with a two-star license, issued 4/7/2020, earning 1 point in the education component, 3 points in the program standards component and 1 quality point for having a reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was conducted 1/13/25. The sanitation inspection was completed on 12/11/24 with a “Superior” classification. The last fire inspection was conducted on 11/25/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent as of 4/29/25. The NC Secretary of State website was reviewed on 4/29/25 and the Economic Improvement Council, Inc. was listed as current- active. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children in space #2, children created Mother’s Day crafts with handprints before transitioning to the outdoor space. Children in both spaces were observed in the outdoor space playing Ring around the Rosie and playing musical instruments. The outdoor space was observed to have stationary climbers, tunnels, riding toys, large blocks, and balls for the children to engage in gross motor activities. The following violations were documented. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A table beside the shade structure on the right side of the outdoor space had edges with sharp splintered wood. G.S. 110-91(6); .0601(b) 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. In the bathroom in space #2, an unlabeled spray bottle containing Fabulouso was located on a shelf above the toilet. .2820(b) 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. On or before 5/21/25, 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 that any information submitted by you is considered 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 may be completed. Mail or email the information to: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. A table beside the shade structure on the right side of the outdoor space had edges with sharp splintered wood. You stated that the table was placed on in the outdoor space for an event and had not been removed. We discussed that the table’s edges are a hazard, and you stated that you would remove the table from the outdoor space this afternoon after the children leave. Check the outdoor space each morning before the children arrive to ensure that hazards are removed. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. In the bathroom in space #2, an unlabeled spray bottle containing Fabulouso was located on a shelf above the toilet. We reviewed the Storage of Hazardous Storage flyer that is posted on the wall in the classroom space together and discussed that when cleaners have additional warning in addition to keep out of reach of children, they must be locked. You immediately moved the Fabulouso to locked storage when it was brought to your attention to correct the violation. Check the classroom spaces each morning to ensure that all cleaning products are stored appropriately. Additional Comments: Moving Forward With QRIS Modernization: The Child Care Commission has taken the next step in the journey to meet the North Carolina General Assembly’s mandate in Session Law 2024-34 to modernize the state’s Quality Rating and Improvement System, voting to adopt the Quality Rating Improvement System (QRIS) Modernization Proposed Rule Amendments and Adoptions. Next, the QRIS rules will go to the Rules Review Commission (RRC) for review and approval. It is important to note that the new QRIS rules are not yet effective. However, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support transition to the new pathways to earn your Two- through Five-Star Rated License. All the newest information will be posted at QRIS Modernization and will also be provided through emails and Raise NC newsletters. Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: WASHINGTON COUNTY EARLY HEAD START Facility ID: 94000056 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 12 Completed Date: 2/7/2024 Age: From 1 To 3 Total Minutes: 290 Time In: 08:55 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements for an Annual Compliance Visit. S. Lee was present and M. McLean arrived later to assist with today’s visit. Your program currently operates with a two(2)-star license, issued 4/7/2020. The last Annual Compliance visit was conducted 2/20/2023. The sanitation inspection was completed 12/13/23 with a “Superior” classification. The last fire inspection was conducted 11/15/23 and your facility was approved for daytime care. The program’s compliance history was ninety-nine percent as of 2/6/2024. The facility is currently owned by Economic Improvement Council and is current-active. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival children in space two (2) were participating in a small group activity and personal care routines. In space one (1) the children were participating in a small group activity and transitioned to personal care routines and outdoor free play. A variety of developmentally appropriate toys were available and accessible on low-lying open shelves. The fenced outdoor play areas located behind the building offered stationary equipment, balls, mobile toys and areas for shade. Lunch was served and consisted of grilled chicken patty on a whole grain bun with lettuce and tomato slices, sliced strawberries, and milk The following violations were documented. Violation Number Comment Rule 1301 Center did not maintain a record of daily attendance. In space two(2) daily attendance had not been recorded for 2/7/24. GS 110-91(9) 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. Technical Assistance: Attendance (Sign-in/Out) Records - Documentation of attendance helps to ensure the safety of children and must be current throughout the operating day. Your attendance records must reflect all children who are enrolled in and attend your program. Upon review of your attendance records, in space two(2) attendance had not been recorded for today 2/7/2024. Having accurate attendance is important to have as documentation if there is a question about children’s attendance related to payments, subsidy, or even parental disputes. More importantly it helps to accurately account for children in the event of an emergency where you might have to evacuate the facility. This was corrected during the visit. Additional Information: The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know demerits will be taken for new requirements of these rules starting January 2024. Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – Your Emergency Preparedness and Response (EPR) Plan needs to be reviewed and updated annually. *Log into the Emergency Management Portal on the DCDEE website -> Provider tab -> Emergency Preparedness and Response -> Emergency Management Portal -> Log in using NCID used to create or update EPR Plan. Review EPR Plan and update as needed. Document review date on page 28. If changes are needed, print the plan up to page 29. If no changes are needed, print page 28 with the review date reflected. Review annually with staff and during orientation with new staff. Staff Education and Works - Formal education (NCECC, college coursework, Principal and Teaching Licenses, BSAC training certificates, CDA Certificates, and Early Educator Certificates) are submitted to DCDEE through WORKS, an on-line portal where you can register, request to be approved for various positions, and access your education information once evaluated and posted. You can now request to have your transcripts sent electronically from colleges attended. *Staff education verifying qualification for the position hired, must be submitted to WORKS within six (6) months of hire or change of position. *Staff not meeting formal education requirements for specific positions must enroll in required coursework within six (6) months of hire or change of position and complete the NCECC (lead teacher and program coordinator) within 18 months after enrollment or NCECAC (administrator) within 24 months after enrollment. *When education is posted, staff need to log back into Works and print a copy of their Education Status Letter for their file. On-going Training Hours – Review Row 18 on the Staff Worksheets to determine how many on-going training hours returning staff will need by 2/20/2024 (anniversary of this Annual Compliance Visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: WASHINGTON COUNTY EARLY HEAD START Facility ID: 94000056 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 12 Completed Date: 2/7/2024 Age: From 1 To 3 Total Minutes: 290 Time In: 08:55 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements for an Annual Compliance Visit. S. Lee was present and M. McLean arrived later to assist with today’s visit. Your program currently operates with a two(2)-star license, issued 4/7/2020. The last Annual Compliance visit was conducted 2/20/2023. The sanitation inspection was completed 12/13/23 with a “Superior” classification. The last fire inspection was conducted 11/15/23 and your facility was approved for daytime care. The program’s compliance history was ninety-nine percent as of 2/6/2024. The facility is currently owned by Economic Improvement Council and is current-active. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival children in space two (2) were participating in a small group activity and personal care routines. In space one (1) the children were participating in a small group activity and transitioned to personal care routines and outdoor free play. A variety of developmentally appropriate toys were available and accessible on low-lying open shelves. The fenced outdoor play areas located behind the building offered stationary equipment, balls, mobile toys and areas for shade. Lunch was served and consisted of grilled chicken patty on a whole grain bun with lettuce and tomato slices, sliced strawberries, and milk The following violations were documented. Violation Number Comment Rule 1301 Center did not maintain a record of daily attendance. In space two(2) daily attendance had not been recorded for 2/7/24. GS 110-91(9) 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. Technical Assistance: Attendance (Sign-in/Out) Records - Documentation of attendance helps to ensure the safety of children and must be current throughout the operating day. Your attendance records must reflect all children who are enrolled in and attend your program. Upon review of your attendance records, in space two(2) attendance had not been recorded for today 2/7/2024. Having accurate attendance is important to have as documentation if there is a question about children’s attendance related to payments, subsidy, or even parental disputes. More importantly it helps to accurately account for children in the event of an emergency where you might have to evacuate the facility. This was corrected during the visit. Additional Information: The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, technical assistance on childcare issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. New Sanitation Rules - DCDEE and the Department of Public Health have received feedback from child care programs that additional guidance would be helpful in implementing the child care sanitation rules that the Public Health Commission readopted effective July 1, 2023. Please know demerits will be taken for new requirements of these rules starting January 2024. Emergency Preparedness and Response (EPR) Requirements, Emergency Medical Care Plan (EMCP) and Ready-to-Go File – Your Emergency Preparedness and Response (EPR) Plan needs to be reviewed and updated annually. *Log into the Emergency Management Portal on the DCDEE website -> Provider tab -> Emergency Preparedness and Response -> Emergency Management Portal -> Log in using NCID used to create or update EPR Plan. Review EPR Plan and update as needed. Document review date on page 28. If changes are needed, print the plan up to page 29. If no changes are needed, print page 28 with the review date reflected. Review annually with staff and during orientation with new staff. Staff Education and Works - Formal education (NCECC, college coursework, Principal and Teaching Licenses, BSAC training certificates, CDA Certificates, and Early Educator Certificates) are submitted to DCDEE through WORKS, an on-line portal where you can register, request to be approved for various positions, and access your education information once evaluated and posted. You can now request to have your transcripts sent electronically from colleges attended. *Staff education verifying qualification for the position hired, must be submitted to WORKS within six (6) months of hire or change of position. *Staff not meeting formal education requirements for specific positions must enroll in required coursework within six (6) months of hire or change of position and complete the NCECC (lead teacher and program coordinator) within 18 months after enrollment or NCECAC (administrator) within 24 months after enrollment. *When education is posted, staff need to log back into Works and print a copy of their Education Status Letter for their file. On-going Training Hours – Review Row 18 on the Staff Worksheets to determine how many on-going training hours returning staff will need by 2/20/2024 (anniversary of this Annual Compliance Visit). New staff will complete Health & Safety in their first year and then will complete on-going training annually based upon their level of education posted in DCDEE Works. *ECE college coursework or coursework leading to an ECE degree counts towards on-going training hours. Each semester credit counts as 16 hours so a 3-credit classes also earns 48 hours of on-going training. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times