10A NCAC 09 .0604 · Violation

Name of Operation: HEAD START STATION Facility ID: 76000279 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 19 Completed Date: 9/16/2025 Age: From 3 To 4 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 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 childcare requirements for a routine unannounced visit. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Dorothy Mcintonsh, Lead Teacher. Your program currently operates with a Five Star license effective October 23, 2023. Restrictions include Daytime care only; No children in diapers; Meets enhanced ratios; Meets enhanced space. The program’s compliance history was 97% prior to today’s visit. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, routine care activities, and playing in their outside learning environment. One new staff member was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items were monitored today. The program began operating for the new school year on September 2, 2025. Please be sure to complete a fire drill, playground inspection, and emergency drill before September 30, 2025 The most recent fire inspection was on December 12, 2024. I observed a sanitation inspection was last conducted on March 18, 2025 earning a Superior classification. The program does not provide transportation. The following violations were cited 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. Outlets on the right wall by the cubbies and the two power strips by the teacher's desk had uncovered outlets. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical report for J. Ortiz was not available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB results for J. Ortiz was not available for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. J. Ortiz qualification letter was not available for me to review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Current staff have not been entered into the ABCMS system. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was last updated October 13, 2021. .0607(e) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 30, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • TB and medical screenings are important for first-day childcare employees to prevent the spread of Tuberculosis (TB), a contagious bacterial infection, especially to vulnerable children who are at higher risk of severe illness. The screenings identify individuals with latent or active infections, allowing for early treatment and reducing transmission in a high-contact environment. This protects both the children and the community while ensuring the workplace is safe and compliant with public health regulations. • Updating emergency care plans in child care is crucial for child safety, ensuring preparedness for changing risks, and meeting legal requirements. Regular updates guarantee that plans are relevant to current community threats, facility changes, and each child's unique, evolving needs, especially for infants and children with special health conditions. An up-to-date plan also ensures staff are well-trained, supplies are current, and parents are informed, fostering confidence and effective communication during an emergency. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. 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. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. As you prepare for the QRIS be sure to double-check that all your staff’s education is listed in NC Works. The link is located on the DCDEE website under Services, select the drop-down box and select DCDEE. There will be a Randolph County Child Care Center Administrator QRIS meeting on September 23, 2025, at 413 Industrial Park Ave. Asheboro, NC 27205 at 6:00 pm • Any staff with a Provisional background check must not be left alone to care for children. There must be a Qualified staff to assist with classroom management. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: HEAD START STATION Facility ID: 76000279 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 19 Completed Date: 9/16/2025 Age: From 3 To 4 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 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 childcare requirements for a routine unannounced visit. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Dorothy Mcintonsh, Lead Teacher. Your program currently operates with a Five Star license effective October 23, 2023. Restrictions include Daytime care only; No children in diapers; Meets enhanced ratios; Meets enhanced space. The program’s compliance history was 97% prior to today’s visit. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, routine care activities, and playing in their outside learning environment. One new staff member was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items were monitored today. The program began operating for the new school year on September 2, 2025. Please be sure to complete a fire drill, playground inspection, and emergency drill before September 30, 2025 The most recent fire inspection was on December 12, 2024. I observed a sanitation inspection was last conducted on March 18, 2025 earning a Superior classification. The program does not provide transportation. The following violations were cited 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. Outlets on the right wall by the cubbies and the two power strips by the teacher's desk had uncovered outlets. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical report for J. Ortiz was not available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB results for J. Ortiz was not available for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. J. Ortiz qualification letter was not available for me to review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Current staff have not been entered into the ABCMS system. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was last updated October 13, 2021. .0607(e) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 30, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • TB and medical screenings are important for first-day childcare employees to prevent the spread of Tuberculosis (TB), a contagious bacterial infection, especially to vulnerable children who are at higher risk of severe illness. The screenings identify individuals with latent or active infections, allowing for early treatment and reducing transmission in a high-contact environment. This protects both the children and the community while ensuring the workplace is safe and compliant with public health regulations. • Updating emergency care plans in child care is crucial for child safety, ensuring preparedness for changing risks, and meeting legal requirements. Regular updates guarantee that plans are relevant to current community threats, facility changes, and each child's unique, evolving needs, especially for infants and children with special health conditions. An up-to-date plan also ensures staff are well-trained, supplies are current, and parents are informed, fostering confidence and effective communication during an emergency. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. 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. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. As you prepare for the QRIS be sure to double-check that all your staff’s education is listed in NC Works. The link is located on the DCDEE website under Services, select the drop-down box and select DCDEE. There will be a Randolph County Child Care Center Administrator QRIS meeting on September 23, 2025, at 413 Industrial Park Ave. Asheboro, NC 27205 at 6:00 pm • Any staff with a Provisional background check must not be left alone to care for children. There must be a Qualified staff to assist with classroom management. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: HEAD START STATION Facility ID: 76000279 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 19 Completed Date: 9/16/2025 Age: From 3 To 4 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 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 childcare requirements for a routine unannounced visit. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Dorothy Mcintonsh, Lead Teacher. Your program currently operates with a Five Star license effective October 23, 2023. Restrictions include Daytime care only; No children in diapers; Meets enhanced ratios; Meets enhanced space. The program’s compliance history was 97% prior to today’s visit. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, routine care activities, and playing in their outside learning environment. One new staff member was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items were monitored today. The program began operating for the new school year on September 2, 2025. Please be sure to complete a fire drill, playground inspection, and emergency drill before September 30, 2025 The most recent fire inspection was on December 12, 2024. I observed a sanitation inspection was last conducted on March 18, 2025 earning a Superior classification. The program does not provide transportation. The following violations were cited 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. Outlets on the right wall by the cubbies and the two power strips by the teacher's desk had uncovered outlets. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical report for J. Ortiz was not available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB results for J. Ortiz was not available for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. J. Ortiz qualification letter was not available for me to review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Current staff have not been entered into the ABCMS system. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was last updated October 13, 2021. .0607(e) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 30, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • TB and medical screenings are important for first-day childcare employees to prevent the spread of Tuberculosis (TB), a contagious bacterial infection, especially to vulnerable children who are at higher risk of severe illness. The screenings identify individuals with latent or active infections, allowing for early treatment and reducing transmission in a high-contact environment. This protects both the children and the community while ensuring the workplace is safe and compliant with public health regulations. • Updating emergency care plans in child care is crucial for child safety, ensuring preparedness for changing risks, and meeting legal requirements. Regular updates guarantee that plans are relevant to current community threats, facility changes, and each child's unique, evolving needs, especially for infants and children with special health conditions. An up-to-date plan also ensures staff are well-trained, supplies are current, and parents are informed, fostering confidence and effective communication during an emergency. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. 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. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. As you prepare for the QRIS be sure to double-check that all your staff’s education is listed in NC Works. The link is located on the DCDEE website under Services, select the drop-down box and select DCDEE. There will be a Randolph County Child Care Center Administrator QRIS meeting on September 23, 2025, at 413 Industrial Park Ave. Asheboro, NC 27205 at 6:00 pm • Any staff with a Provisional background check must not be left alone to care for children. There must be a Qualified staff to assist with classroom management. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: HEAD START STATION Facility ID: 76000279 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 19 Completed Date: 9/16/2025 Age: From 3 To 4 Total Minutes: 140 Time In: 09:25 AM Time Out: 11:45 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 childcare requirements for a routine unannounced visit. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Dorothy Mcintonsh, Lead Teacher. Your program currently operates with a Five Star license effective October 23, 2023. Restrictions include Daytime care only; No children in diapers; Meets enhanced ratios; Meets enhanced space. The program’s compliance history was 97% prior to today’s visit. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, routine care activities, and playing in their outside learning environment. One new staff member was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items were monitored today. The program began operating for the new school year on September 2, 2025. Please be sure to complete a fire drill, playground inspection, and emergency drill before September 30, 2025 The most recent fire inspection was on December 12, 2024. I observed a sanitation inspection was last conducted on March 18, 2025 earning a Superior classification. The program does not provide transportation. The following violations were cited 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. Outlets on the right wall by the cubbies and the two power strips by the teacher's desk had uncovered outlets. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical report for J. Ortiz was not available for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB results for J. Ortiz was not available for review. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. J. Ortiz qualification letter was not available for me to review. G.S. 110-90.2(b) & (d) & .2703(e) 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. Current staff have not been entered into the ABCMS system. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was last updated October 13, 2021. .0607(e) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 30, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • TB and medical screenings are important for first-day childcare employees to prevent the spread of Tuberculosis (TB), a contagious bacterial infection, especially to vulnerable children who are at higher risk of severe illness. The screenings identify individuals with latent or active infections, allowing for early treatment and reducing transmission in a high-contact environment. This protects both the children and the community while ensuring the workplace is safe and compliant with public health regulations. • Updating emergency care plans in child care is crucial for child safety, ensuring preparedness for changing risks, and meeting legal requirements. Regular updates guarantee that plans are relevant to current community threats, facility changes, and each child's unique, evolving needs, especially for infants and children with special health conditions. An up-to-date plan also ensures staff are well-trained, supplies are current, and parents are informed, fostering confidence and effective communication during an emergency. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. 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. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. As you prepare for the QRIS be sure to double-check that all your staff’s education is listed in NC Works. The link is located on the DCDEE website under Services, select the drop-down box and select DCDEE. There will be a Randolph County Child Care Center Administrator QRIS meeting on September 23, 2025, at 413 Industrial Park Ave. Asheboro, NC 27205 at 6:00 pm • Any staff with a Provisional background check must not be left alone to care for children. There must be a Qualified staff to assist with classroom management. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times