10A NCAC 09 .0302 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2802 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 32 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 12:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Ashley Hyde, Compliance Officer, during the visit. Leslie McEntire, Administrator, was not present during my visit but I did speak with her over the phone. An electronic signed copy of the visit summary was left on-site with you. Today, the Ms. Hyde accompanied me. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-percentage (90%) as of August 26, 2024 prior to today’s visit was entered. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Cherokee Boys Club, Inc, is current/active as of August 26, 2024. Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on August 28, 2023 The last fire drill recorded was practiced on August 26, 2024. The last lockdown drill recorded was practiced on July 15, 2024 The last fire inspection was approved on February 07, 2024 The last sanitation inspection was conducted on August 26, 2024 with four (4) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The curriculum that was reported being used is Fundations Preschool Curriculum Upon arrival I introduced my presence to Ms. Hyde and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside. Infants and one year old's were observed during inside gross motor play. I observed the group of children age one-through-two years of age during pm snack which consisted, of Chex mix and water . I observed the observed the group of four-year-old children during snack as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that two (2) children did not have a medical exam on file within 30 days after enrollment. One child was enrolled on 08-01-22, the medical exam was dated 11-30-23. The other child was enrolled on 01-27-22, the medical exam was dated 03-17-22. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. After review of four (4) children's files it was noted that one child enrolled on 01-27-22 immunization record was dated 03-17-22. 10A NCAC 09 .0302(d)(2) 1794 A Four- or Five- Star program serving four year old children was not implementing an approved curriculum. Based on staff report today they are currently using Foundations, which is not listed as an approved curriculum. .2802(d) Technical assistance was provided as follows: Item 1321 all children must have a medical exam on file within 30 days of enrollment According to § 110-91. Mandatory standards for a license. The Commission shall adopt rules for child care facilities to establish minimum requirements for child and staff health assessments and medical care procedures. These rules shall be developed in consultation with the Department. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination Item 1323 all children must have an immunization record on file within 30 days of enrollment According to 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): … (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; Item 1794 all center with a four or five star rated license that serv four-year-old children must implement a curriculum that has been approved by DCDEE. Today it was that reported you use a curriculum called Fundations, which is not listed on the approved list through DCDEE. In the past it has been reported that you a curriculum called Learn Everyday Preschool Curriculum, which is listed as an approved curriculum. As we discussed today I want you to reach out to Mandy Mills, with Southwestern Child Development to assist with implementations of an approved curriculum and how to use the NC Carolina Foundations for Early Learning and Development. According to 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 09, 2024 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: **Be sure that all staff sign their orientation record documentation **All food served must meet nutritional requirements, unless it a snack for a special occasion such as a birthday. According 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: 0524-322L Visit Date: 6/4/2024 Number Present: 29 Completed Date: 6/4/2024 Age: From 1 To 5 Total Minutes: 240 Time In: 12:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements. I reviewed the following allegation with you, and you were given an opportunity to respond to each concern. This complaint was received on May 22, 2024 and was sent to Sarah Upton, Child Care Consultant on May 22, 2024. Upon arrival I made Ashley Hyde, Compliance Officer, aware of my presence and explained the reason for my visit. I spoke with Leslie McEntire, Administrator, by phone and explained the reason for my visit. Ms. McEntire arrived at the faclity before the end of my visit. A computerized generated report of today’s visit was completed, reviewed with Ms. McEntire and signed by Sarah Upton, Child Care Consultant. A signed copy of the visit summary was left with you today. The following concerns were addressed with you today and you were given the opportunity to ask questions. There are concerns regarding nurture and care. Allegation: On May 15th between 11:30am - 12pm a teacher (RW) in the classroom for children ages four-through-five years of age was observed yelling at a child. Today I spoke with Leslie McEntire, Administrator, the lead teacher for the classroom listed in the allegation, and the teacher listed in the allegations listed above regarding the information above. According to all three reports there was an incident that occurred on May 15th between 11:30am-12:00pm in which the listed teacher raised her voice to a child. The teacher (RW) reported that there is a child enrolled in the classroom with challenging behaviors. This child is attached to her and stays right with her most of the time and seems to get upset if she is playing with other children. On the date list this child had been screaming and upset for over an hour and nothing seemed to soothe him or calm him down. They had tried all the things that had worked in the past, but nothing was working. The teacher reported that she had sat down to work with other children and the child got in her face so close that he was breathing in her mouth and started screaming as loud as he could. At that moment she reported that she said loudly “Enough” in a firm tone. The teacher reported that as soon as it came out of her mouth, she knew she shouldn’t have used that tone. The teacher reported that once she did that the child stopped screaming and calmed down. The teacher reported that after the incident she went directly to the administrator and apologized for what had happened. She reported that she understands she should have removed herself from the classroom before it got to that point, but she didn’t know he was going to get in her face like that. Since this incident and the challenging behaviors in this classroom Ms. McEntire reported that she has reached out to Sharon Fitzgerald, Behavior Specialist, Mandy Mills, Southwestern Resource and Referral, and a Child Psychologist for assistance. The teacher has been moved to another classroom. Ms. McEntire and the teachers both reported that they have a system in place that when a teacher gets to overwhelmed or needs to step out for a breather, they can say code purple and someone will come and relieve them so they can step out and cool down. Based on the information received today the allegations listed was substantiated. During today’s visit I followed-up on the supervision violation written during the Routine Unannounced visit conducted on May 25, 2024. All children were observed being adequately supervised. This violation will be marked corrected after today’s visit. There was one (1) violation written during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In the classroom with children four through five years of age, the staff member reported that on May 15th, she sat down to work with other children and one (1) child got in her face so close that he was breathing in her mouth. The child started screaming as loud as he could. At that moment the staff member reported that she said loudly “Enough” in a firm tone. G.S. 110-91(10) Technical Assistance: Item 902: All children should be attended to in a nurturing manner. As teachers we must be able to remain calm in high stress situations. It is ok to say we need help, or we need to step away. We need to be aware of our limits before we react. Stepping away from a situation is not a sign of weakness but a sign of awareness. Ms. McEntire stated she has requested training, the staff member has been removed to another classroom and implemented a procedure to assist staff when they become overwhelmed. Based on the three (3) steps of corrective measures reported, this violation was corrected during the visit. § 110-91. Mandatory standards for a license (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Corrective Action Plan: Because of the steps you have taken to prevent future occurrences like the one listed above, the violation was corrected during the visit. A Letter of Compliance is not due. Closure: We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: 828-782-0937 or by email at sarah.upton@dhhs.nc.gov or you may contact my supervisor Bonnie Mathis by email at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 29 Completed Date: 5/22/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. Upon my arrival I explained to Ashley Hyde the reason for my visit. A computerized generated visit summary was completed and reviewed with Ashley Hyde, Compliance Officer. Leslie McEntire, Administrator was not on-site during my visit. A signed copy of this report was left on-site today. This faclity is owned and operated by The Cherokee Boys Club, INC. There are currently four (4) classrooms open. Children were observed during routine care needs, snack, which consisted of a cereal bar and milk or juice, outside time and inside free play. Interactions between teachers and children were positive and helpful. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication ITS/SIDS Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on May 28th, 2021 The last annual compliance visit was conducted on August 28, 2023 The last fire drill was practiced on February 08, 2024 The last lockdown drill was conducted on March 03, 2024. The Emergency Medical Care plan was posted and current. No new staff have been hired since your Annual Compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. As I entered the classroom for children ages two years of age it was noted that one (1) teacher was observed picking up children's cots and placing them in the storage closet while the other teacher was at the diaper changing table changing a diaper. There was one (1) child sitting at the table eating snack. Because both teachers were involved in other activities and not positioned where at least one (1) of them could see and hear the child at the table adequate supervision was not provided during snack. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 02-08-2024. .0604(t); .0302(d)(5) Technical Assistance: Item #303 While children are eating at least one (1) teacher must be positioned so they can see AND hear children. According 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Item 805 a monthly fire drill must be conducted, and the date must be recorded on the Emergency Drill According 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 05, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. **Another visit will be made to ensure that this violation regarding supervision is being corrected. Consultation: If you would like assistance with classroom behavior and classroom management I encourage you to reach out to Sharon Fitzgerald, Healthy Social Behavior Specialist, at Fitzgerald.sharon@swcdcinc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 29 Completed Date: 5/22/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. Upon my arrival I explained to Ashley Hyde the reason for my visit. A computerized generated visit summary was completed and reviewed with Ashley Hyde, Compliance Officer. Leslie McEntire, Administrator was not on-site during my visit. A signed copy of this report was left on-site today. This faclity is owned and operated by The Cherokee Boys Club, INC. There are currently four (4) classrooms open. Children were observed during routine care needs, snack, which consisted of a cereal bar and milk or juice, outside time and inside free play. Interactions between teachers and children were positive and helpful. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication ITS/SIDS Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on May 28th, 2021 The last annual compliance visit was conducted on August 28, 2023 The last fire drill was practiced on February 08, 2024 The last lockdown drill was conducted on March 03, 2024. The Emergency Medical Care plan was posted and current. No new staff have been hired since your Annual Compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. As I entered the classroom for children ages two years of age it was noted that one (1) teacher was observed picking up children's cots and placing them in the storage closet while the other teacher was at the diaper changing table changing a diaper. There was one (1) child sitting at the table eating snack. Because both teachers were involved in other activities and not positioned where at least one (1) of them could see and hear the child at the table adequate supervision was not provided during snack. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 02-08-2024. .0604(t); .0302(d)(5) Technical Assistance: Item #303 While children are eating at least one (1) teacher must be positioned so they can see AND hear children. According 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Item 805 a monthly fire drill must be conducted, and the date must be recorded on the Emergency Drill According 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 05, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. **Another visit will be made to ensure that this violation regarding supervision is being corrected. Consultation: If you would like assistance with classroom behavior and classroom management I encourage you to reach out to Sharon Fitzgerald, Healthy Social Behavior Specialist, at Fitzgerald.sharon@swcdcinc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 29 Completed Date: 5/22/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. Upon my arrival I explained to Ashley Hyde the reason for my visit. A computerized generated visit summary was completed and reviewed with Ashley Hyde, Compliance Officer. Leslie McEntire, Administrator was not on-site during my visit. A signed copy of this report was left on-site today. This faclity is owned and operated by The Cherokee Boys Club, INC. There are currently four (4) classrooms open. Children were observed during routine care needs, snack, which consisted of a cereal bar and milk or juice, outside time and inside free play. Interactions between teachers and children were positive and helpful. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication ITS/SIDS Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on May 28th, 2021 The last annual compliance visit was conducted on August 28, 2023 The last fire drill was practiced on February 08, 2024 The last lockdown drill was conducted on March 03, 2024. The Emergency Medical Care plan was posted and current. No new staff have been hired since your Annual Compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. As I entered the classroom for children ages two years of age it was noted that one (1) teacher was observed picking up children's cots and placing them in the storage closet while the other teacher was at the diaper changing table changing a diaper. There was one (1) child sitting at the table eating snack. Because both teachers were involved in other activities and not positioned where at least one (1) of them could see and hear the child at the table adequate supervision was not provided during snack. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 02-08-2024. .0604(t); .0302(d)(5) Technical Assistance: Item #303 While children are eating at least one (1) teacher must be positioned so they can see AND hear children. According 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Item 805 a monthly fire drill must be conducted, and the date must be recorded on the Emergency Drill According 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 05, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. **Another visit will be made to ensure that this violation regarding supervision is being corrected. Consultation: If you would like assistance with classroom behavior and classroom management I encourage you to reach out to Sharon Fitzgerald, Healthy Social Behavior Specialist, at Fitzgerald.sharon@swcdcinc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 5/22/2024 Number Present: 29 Completed Date: 5/22/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. Upon my arrival I explained to Ashley Hyde the reason for my visit. A computerized generated visit summary was completed and reviewed with Ashley Hyde, Compliance Officer. Leslie McEntire, Administrator was not on-site during my visit. A signed copy of this report was left on-site today. This faclity is owned and operated by The Cherokee Boys Club, INC. There are currently four (4) classrooms open. Children were observed during routine care needs, snack, which consisted of a cereal bar and milk or juice, outside time and inside free play. Interactions between teachers and children were positive and helpful. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication ITS/SIDS Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Four Star issued on May 28th, 2021 The last annual compliance visit was conducted on August 28, 2023 The last fire drill was practiced on February 08, 2024 The last lockdown drill was conducted on March 03, 2024. The Emergency Medical Care plan was posted and current. No new staff have been hired since your Annual Compliance visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. As I entered the classroom for children ages two years of age it was noted that one (1) teacher was observed picking up children's cots and placing them in the storage closet while the other teacher was at the diaper changing table changing a diaper. There was one (1) child sitting at the table eating snack. Because both teachers were involved in other activities and not positioned where at least one (1) of them could see and hear the child at the table adequate supervision was not provided during snack. .1801(a)(1-5) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated 02-08-2024. .0604(t); .0302(d)(5) Technical Assistance: Item #303 While children are eating at least one (1) teacher must be positioned so they can see AND hear children. According 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Item 805 a monthly fire drill must be conducted, and the date must be recorded on the Emergency Drill According 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly, and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Corrective Action Plan All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 05, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. **Another visit will be made to ensure that this violation regarding supervision is being corrected. Consultation: If you would like assistance with classroom behavior and classroom management I encourage you to reach out to Sharon Fitzgerald, Healthy Social Behavior Specialist, at Fitzgerald.sharon@swcdcinc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: CHRISTOPHER MORROW Operation Type: Center Case Number: 1123-072A Visit Date: 11/8/2023 Number Present: 37 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 150 Time In: 11:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Leslie McEntire, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. McEntire and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A child's finger was closed in a bathroom door, resulting in partial amputation of the child's left middle finger. 10A NCAC 09 .0601(a) You may contact me at Christopher Morrow, Investigations Consultant, 828-782-0706, christopher.morrow@dhhs.nc.gov or Natosha Lambeth, Investigations Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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 .0601 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 8/28/2023 Number Present: 32 Completed Date: 8/28/2023 Age: From 0 To 4 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Jessica Wachacha, Compliance Supervisor, during the visit. Leslie McEntire, Administrator, was not present during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. McEntire. Today, Ms. Wachacha, was not present upon my arrival but did arrive as I was completing my visit. Staff and children files were not monitored today due to Ms. McEntire not being present. I will be making another visit on Wednesday to monitored those files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. This program is owned and operated by a Cherokee Boys Club, a non-profit corporation that is current and active as of August 28, 2023 Permit type – Four Star issued on May 28, 2021 Special Services/Restrictions – meets reduced ratio, meets enhanced space, Last Annual Compliance visit was conducted on September 08, 2022 The last fire drill recorded was practiced on May 17, 2023 The last shelter-in-place drill recorded was practiced on March 17, 2023 The last fire inspection was approved on January 27, 2023 The last sanitation inspection was conducted on July 27, 2023 with six (6) demerits for and provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Learn Everyday Preschool Curriculum Upon arrival I introduced my presence to the janitorial staff member and explained the reason for my visit. I spoke with Ms. McEntire on the phone and explained the reason for my visit. I observed the group with three-year-old children engaged in free play activities outside and inside. Infants and one year old's were observed during outdoor time and lunch. I observed the group of children age one-through-two years of age during lunch, which consisted of mini corndogs, peas, mashed potatoes, oranges, and milk . I observed the observed the group of four-year-old children during lunch as well. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The faclity received a Provisional sanitation inspection on July 27, 2023. Another inspection has not been conducted for a Superior or Approved classification. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. In the classroom for children ages three-years-old the activity plan was not completed. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last recorded fire drill was dated May 05, 2023. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. For lunch children in the classroom for ages zero-through-one year, children that were eating table food were served whole mini corndogs. Additionally, in this classroom a child was placed in a low chair without the safety straps being used. Children in the classroom for one-through-two years of age were also served whole mini corndogs. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the classroom for children one-through-two years of age there were plastic zip lock bags stored in unlocked drawers that were less then five feet high. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last recorded emergency drill was conducted on March 17, 2023. .0604(u);.0302(d)(8) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage posted at the entrance of the faclity regarding the facility's smoking and tobacco restriction. .0604(i) Technical assistance was provided as follows: Item 104- all facilities must receive an approved or superior rating on sanitation inspections for it to be considered in compliance. In situations in which a provisional classification is received another inspection needs to be completed with a superior or approved classification According to 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Item 428-activity plans must be current and posted at all times. According to 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. **I encourage all staff to complete the NC Foundations for Early Learning and Development (NC FELD) training at https://www.swcdcinc.org/training-registration. Item #805- Fire drills must be conducted monthly and recorded. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Remember that equipment should be used according to manufactures instructions. Always ensure that infants and toddlers are strapped in their highchairs during meals and snacks. According to 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer’s instructions shall be kept on file or electronically accessible, if available. Item 858- all plastics including the plastic zip lock bags must be inaccessible to children. Inaccessible is defined as at least five (5) feet above the floor or stored in a locked cabinet or storage if stored below five (5) feet. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Item #1811 a shelter-in-place or lockdown drill must be conducted at every three months. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item 1850 signage of the facility’s no tobacco policy was not posted on the entrance door to the facility. According to 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 11, 2023 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0205 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: 0723-082L Visit Date: 7/27/2023 Number Present: 29 Completed Date: 7/27/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 12:15 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements. I reviewed the following allegation with you, and you were given an opportunity to respond to each concern. This complaint was received on July 17, 2023 and was sent to Sarah Upton, Child Care Consultant on July 18, 2023. Upon arrival I made Leslie McEntire, Administrator, aware of my presence and the reason for my visit. A computerized generated report of today’s visit was completed, reviewed with Ms. McEntire and signed by Sarah Upton, Child Care Consultant. Ms. McEntire needed to leave before the final version of this report was competed. Ms. McEntire gave verbal permission for Jessica Wachacha, Compliance Supervisor, to signed the formal copy, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. There is a concern regarding that a parent was not allowed access to the facility. Today I spoke with Leslie McEntire, Administrator, regarding the allegations listed above. According to Ms. McEntire there was an incident that occurred off premises between her and a parent whose child attends the faclity. The incident was not related to anything that occurred at the faclity but a personal matter. Ms. McEntire felt that for the safety of herself and the children at the faclity it would be in the best interest of the children and her staff that the parent not be allowed to drop off or pick up. There was no official document or court order that prevented the parent access to the faclity. The child was not terminated from the faclity and was allowed to attend; however, the child has not returned since the incident. Based on the information received today the allegations listed was substantiated. There was one (1) violation written during today’s visit. Violation Number Comment Rule 101 Parent or guardian of child was not allowed access to the center during operating hours for the purpose of contacting the child or evaluating the caregiving space at the center and the care provided. According to Ms. McEntire there was an incident that occurred off premises between her and a parent whose child attends the faclity. The incident was not related to anything that occurred at the faclity but a personal matter. Ms. McEntire felt that for the safety of herself and the children at the faclity it would be in the best interest of the children and her staff that the parent not be allowed to drop off or pick up. There was no official document or court order that prevented the parent access to the faclity. .0205(a) Technical Assistance: Item 0101: Parents must be allowed access to the faclity at all times unless there is a court order or they have been convicted of a “reportable conviction” According to 10A NCAC 09 .0205 ACCESS TO CHILD CARE CENTER (a) The parent of a child enrolled in a child care center shall be allowed access to the center during its operating hours for the purposes of contacting the child or evaluating caregiving space at the center and the care provided by the center for the child. The parent shall notify the on-site administrator of his or her presence upon entering the premises. (b) Parents subject to court orders related to custody of a child enrolled in a child care center shall only be allowed access to the center in accordance with the court order. (c) The child care operator shall not knowingly permit a person on the premises of a child care center who has been convicted of a "reportable conviction" as defined in G.S. 14-208.6(4). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 10, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Closure: We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: 828-782-0937 or by email at sarah.upton@dhhs.nc.gov or you may contact my supervisor Bonnie Mathis by email at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: SNOWBIRD CHILD DEVELOPMENT Facility ID: 38000031 Consultant: SARAH UPTON Operation Type: Center Case Number: 0723-082L Visit Date: 7/27/2023 Number Present: 29 Completed Date: 7/27/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 12:15 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of childcare requirements. I reviewed the following allegation with you, and you were given an opportunity to respond to each concern. This complaint was received on July 17, 2023 and was sent to Sarah Upton, Child Care Consultant on July 18, 2023. Upon arrival I made Leslie McEntire, Administrator, aware of my presence and the reason for my visit. A computerized generated report of today’s visit was completed, reviewed with Ms. McEntire and signed by Sarah Upton, Child Care Consultant. Ms. McEntire needed to leave before the final version of this report was competed. Ms. McEntire gave verbal permission for Jessica Wachacha, Compliance Supervisor, to signed the formal copy, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. There is a concern regarding that a parent was not allowed access to the facility. Today I spoke with Leslie McEntire, Administrator, regarding the allegations listed above. According to Ms. McEntire there was an incident that occurred off premises between her and a parent whose child attends the faclity. The incident was not related to anything that occurred at the faclity but a personal matter. Ms. McEntire felt that for the safety of herself and the children at the faclity it would be in the best interest of the children and her staff that the parent not be allowed to drop off or pick up. There was no official document or court order that prevented the parent access to the faclity. The child was not terminated from the faclity and was allowed to attend; however, the child has not returned since the incident. Based on the information received today the allegations listed was substantiated. There was one (1) violation written during today’s visit. Violation Number Comment Rule 101 Parent or guardian of child was not allowed access to the center during operating hours for the purpose of contacting the child or evaluating the caregiving space at the center and the care provided. According to Ms. McEntire there was an incident that occurred off premises between her and a parent whose child attends the faclity. The incident was not related to anything that occurred at the faclity but a personal matter. Ms. McEntire felt that for the safety of herself and the children at the faclity it would be in the best interest of the children and her staff that the parent not be allowed to drop off or pick up. There was no official document or court order that prevented the parent access to the faclity. .0205(a) Technical Assistance: Item 0101: Parents must be allowed access to the faclity at all times unless there is a court order or they have been convicted of a “reportable conviction” According to 10A NCAC 09 .0205 ACCESS TO CHILD CARE CENTER (a) The parent of a child enrolled in a child care center shall be allowed access to the center during its operating hours for the purposes of contacting the child or evaluating caregiving space at the center and the care provided by the center for the child. The parent shall notify the on-site administrator of his or her presence upon entering the premises. (b) Parents subject to court orders related to custody of a child enrolled in a child care center shall only be allowed access to the center in accordance with the court order. (c) The child care operator shall not knowingly permit a person on the premises of a child care center who has been convicted of a "reportable conviction" as defined in G.S. 14-208.6(4). Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by August 10, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: Sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Closure: We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: 828-782-0937 or by email at sarah.upton@dhhs.nc.gov or you may contact my supervisor Bonnie Mathis by email at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times