Price Head Start Center

NC GS 110-90 · Violation

Name of Operation: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 42 Completed Date: 3/31/2026 Age: From 3 To 5 Total Minutes: 137 Time In: 09:28 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on October 9, 2025. Your facility’s compliance history score prior to today’s visit was 93%. You, Jacqueline Click, Center Manager, assisted me with the visit. I observed your Five-Star License, NC Child Care Summary of the Law, Emergency Medical Care Plan, sanitation placard, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and a parent activity outdoors. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 11, 2025, with zero (0) demerits and a superior classification. A fire inspection was conducted on April 30, 2025. There has been one new staff member hired since the last visit. I monitored their file today. Criminal Background Checks, CPR / First Aid, and special training were monitored in all staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. Rated License Discussion – I received the “Application for Assessment for a Rated License for Centers” on February 24, 2026. This program has chosen Accreditation and Head Start (Pathway 3). The following have been reviewed for Accreditation and Head Start (Pathway 3) 1) I received the Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License document on February 24, 2026. This facility is a head start designation. I received the Head Start Verification for Price Head Start Center and verified the head start designation on February 26, 2026. 2) I received the Classroom Staff to Child Ratio for Head Start documents on February 24, 2026. It was documented that the facility will meet Head Start staff / child ratios. The Head Start staff to child ratio are as follows: • Children under 3 years of age: two (2) teachers with no more than 8 children or 3 teachers with no more than 9 children • When majority of children are 3 years of age: two (2) teachers with no more than 17 children. • Children 4 to 5 years of age: two (2) teachers with no more than 20 children. I verified during today’s visit that the facility is following the staff/child ratios as listed. This facility is eligible for a five-star license using the accreditation and head start licensure pathway. I will process the star rated license once I receive the compliance documentation indicating that violations are corrected. Star Rated License Child Care programs are expected to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent at all times [NC GS 110-90(4)(d)]. After today's visit the facility's compliance history is at 91% I reviewed the Quality Initiatives Recognition Form with you today. Quality initiatives are optional recognitions that may accompany the issuance of a two- through five-star rated license. Please note that quality initiatives are not part of the process to earn a star rating and are not required. If this facility chooses to participate in the recognition of quality initiatives, the completed Quality Initiatives Recognition Form, along with documentation verifying the initiatives will need to be submitted to me no later than April 14, 2026. Verification of the initiatives may include certificates of completion or designation, reviewing staff education and training, benefits packages outlined in the personnel procedure, posted ratios, observing options such as language immersion programs, verifying experience, and communication from an organization such as T.E.A.C.H noting the facility participates. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information Form for a staff member hired 3/23/2026 did not have a choice of healthcare professional listed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 10/4/2010) did not have First Aid certification from an approved training organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 10/4/2010) did not have CPR certification from an approved training organization. .1102(d) Technical Assistance: • To ensure the health and safety of staff, I suggested that you review all required documents to ensure they are thoroughly completed prior to putting them in their personnel files. The Emergency Information Form must include the responsible party's choice of health care professional. Today you corrected item # 1035 by having the staff member list their choice of health care professional on their Emergency Information Form. • Today we discussed that all CPR and First Aid certifications must be completed through an approved training organization. When signing up to take First Aid and CPR, utilize the "Be a Smart Consumer of First Aid and CPR Training" document found on the DCDEE website to find trainings that meet the NC child care requirements. During today’s visit, I emailed you this document so that it is easy to reference. Consultation: • Today we discussed that child care rule .3002(b) states that NC Pre-K programs that have earned a four-or five-star rated license using the accreditation and Head Start licensure pathway in Rule .3207 of this Section are not required to have an assessment and must instead comply with standards set forth by those organizations regarding program quality standards. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: All violations cited during today’s visit must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Your signature I must receive your compliance letter no later than April 14, 2026. Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .3005 · Violation

Name of Operation: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 44 Completed Date: 10/9/2025 Age: From 3 To 5 Total Minutes: 200 Time In: 09:25 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on November 8, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Jacqueline Click, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 153 children on first shift, ages 0-12 with an effective date of June 7, 2017. The following restrictions are listed: daytime care only, meets enhanced ratios and space, and children under 2.5 years old in space 5 only. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors. Positive interactions between teachers and children were observed. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. All medications and accompanying documentation were monitored. You stated that your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on September 11, 2025, with zero (0) demerits and a superior classification. A fire inspection was conducted on April 30, 2025. There have been no new staff members hired since the last visit. I monitored a portion of existing staff files during today’s visit. There are 50 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, and monthly parent family engagement activities. The classrooms use ReadyRosie to communicate with parents. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 7:30 to 4:00. The following violation was observed during today’s visit. Violation Number Comment Rule 1769 The health assessment did not include a dental screening. Two children (DOE: 8/26/2025) did not have a dental screening on file within 30 days of enrollment. .3005 (a)(5) Technical Assistance: • Child Care Rule 10A NCAC 09 .3005 (a)(5) requires NC Pre-K sites to have a health assessment, including a dental screening, on file within 30 days after a child enters the NC PreK program. The dental screening cannot be more than 12 months old at the time of program entry. To ensure all health assessments are completed and on file in a timely manner, I suggest that you remind families through various methods of communication that this documentation must be on file within 30 days. Consultation: • During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway- If you choose Pathway 1: -Confirm all staff have active WORKS accounts. -Complete the QRIS Staff Information and Education Worksheet electronically. -Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. -Prepare for Environmental Rating Scale (ERS) assessments. -Access resources, trainings, and outreach via ncrlap.org. -Work with CCR&R or Smart Start for support in preparation. -Identify CQI goals and begin planning for implementation. -Develop strategies for Family and Community Engagement. -If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: -Confirm all staff have active WORKS accounts. -Complete the QRIS Staff Information and Education Worksheet electronically. -Identify CQI goals and begin planning for implementation. -Develop strategies for Family and Community Engagement. -Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) -Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: -Ensure all staff have active WORKS accounts. -If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. -If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. -If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. -Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. You stated that your program is considering Pathway 3 but a final decision has not been made at this time. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 10/23/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 41 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 110 Time In: 10:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on November 8, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Jaqueline Click, Center Manager, assisted me with the visit. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities outdoors and during the lunch routine. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 4, 2025, with two (2) demerits and a superior classification. A fire inspection was conducted on April 30, 2025. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Emergency medications were stored below five feet on the playground used by children four and five years of age. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 1, the authorization for administering an Albuterol inhaler expired on 2/2/2025. In Space 1, the authorization for administering an EpiPen expired on 4/23/2025. .0803(12) Technical Assistance: • To ensure Medication Administration Permission Forms are updated as required, I suggest that teachers place a visual reminder with expiration dates in their classroom. We discussed that an administrator or assigned staff member can do a monthly medication check to ensure that required paperwork is updated as needed. • Emergency medications must be inaccessible to children at all times. Emergency medications are stored in a classroom bookbag. Today we discussed that teachers can either wear the bookbag while on the playground or that a hook can be installed keeping the medication five feet or higher from the ground. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You can also access the ABCMS Provider Portal Guide here: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. Today the dashboard indicated that enrollment needs to be completed for Lead-Based Paint and Asbestos. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 5/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 41 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 110 Time In: 10:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on November 8, 2024. Your facility’s compliance history score prior to today’s visit was 90%. You, Jaqueline Click, Center Manager, assisted me with the visit. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities outdoors and during the lunch routine. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on April 4, 2025, with two (2) demerits and a superior classification. A fire inspection was conducted on April 30, 2025. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in staff files. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Emergency medications were stored below five feet on the playground used by children four and five years of age. 15A NCAC 18A .2820(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 1, the authorization for administering an Albuterol inhaler expired on 2/2/2025. In Space 1, the authorization for administering an EpiPen expired on 4/23/2025. .0803(12) Technical Assistance: • To ensure Medication Administration Permission Forms are updated as required, I suggest that teachers place a visual reminder with expiration dates in their classroom. We discussed that an administrator or assigned staff member can do a monthly medication check to ensure that required paperwork is updated as needed. • Emergency medications must be inaccessible to children at all times. Emergency medications are stored in a classroom bookbag. Today we discussed that teachers can either wear the bookbag while on the playground or that a hook can be installed keeping the medication five feet or higher from the ground. Consultation: • NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which includes moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for ITERS, ECERS, and FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You can also access the ABCMS Provider Portal Guide here: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Criminal-Background-Check-Unit/Basic-Information • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. Today the dashboard indicated that enrollment needs to be completed for Lead-Based Paint and Asbestos. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 5/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 11/8/2024 Number Present: 44 Completed Date: 11/8/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 09:15 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 13, 2023. Your facility’s compliance history score prior to today’s visit was 90%. You, Jacqueline Click, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 153 children on first shift, ages 0-12 with an effective date of June 7, 2017. The following restrictions are listed: daytime care only, meets enhanced ratios and space, and children under 2.5 years old in space 5 only. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in group time, free choice activities indoors, and during transitions. All medications and accompanying documentation were monitored. You stated that your program does provide transportation. I monitored the two buses and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 30, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on May 21, 2024. There have been two new staff members hired since the last visit. I monitored their files and a portion of existing staff files during today’s visit. There are 51 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, and monthly parent family engagement activities. The classrooms use ClassDojo and Remind to communicate with families. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 7:30 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 4 did not have the staff/child ratios applicable to their classroom posted. .0713(a)(10), (c) & (f)(3); .2818(e) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 9/4/2024 had a TB test completed on 5/16/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/16/2024 did not have a medical exam or health assessment on file. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Upon my arrival to Space 6 and for approximately an additional 10 minutes into the monitoring visit, I observed one teacher supervising sixteen children ages four and five years of age. .3009 Technical Assistance: • To ensure staff/child ratio worksheets are consistently posted, I recommend implementing a classroom checklist that each teacher must complete weekly. This checklist should include a task to verify that all required postings, including the staff/child ratio, are posted and up to date in the classroom. • To prevent medical exams or health assessments from being missing in files after 30 days, I suggest utilizing the Children’s File Checklist in conjunction with the Head Start Checklist to double-check files. This will help ensure that all required documents are obtained and filed in a timely manner, supporting the health and safety of the children. • TB test results must be current and no older than 12 months. To ensure compliance, I recommend that staff members not be allowed to start work until a current TB test or screening has been completed. • Per child care rule 10A NCAC 09 .3009, NC Pre-K program staff-to-child ratios and group sizes should be maintained at all times. You stated that you were short-staffed today and had not received coverage. I suggested that you step into the classroom during these situations until coverage can arrive to maintain ratio and ensure compliance with regulations. Additionally, it may be helpful to establish a plan for such staffing shortages in advance, such as having a list of on-call substitutes or cross-trained staff who can step in when needed. This proactive approach will help minimize disruption and ensure the safety and well-being of the children. Due to the nature of the violation, I will make a follow-up visit to your facility in the near future. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/22/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 11/8/2024 Number Present: 44 Completed Date: 11/8/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 09:15 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 13, 2023. Your facility’s compliance history score prior to today’s visit was 90%. You, Jacqueline Click, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 153 children on first shift, ages 0-12 with an effective date of June 7, 2017. The following restrictions are listed: daytime care only, meets enhanced ratios and space, and children under 2.5 years old in space 5 only. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in group time, free choice activities indoors, and during transitions. All medications and accompanying documentation were monitored. You stated that your program does provide transportation. I monitored the two buses and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 30, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on May 21, 2024. There have been two new staff members hired since the last visit. I monitored their files and a portion of existing staff files during today’s visit. There are 51 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, and monthly parent family engagement activities. The classrooms use ClassDojo and Remind to communicate with families. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 7:30 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 4 did not have the staff/child ratios applicable to their classroom posted. .0713(a)(10), (c) & (f)(3); .2818(e) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 9/4/2024 had a TB test completed on 5/16/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/16/2024 did not have a medical exam or health assessment on file. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Upon my arrival to Space 6 and for approximately an additional 10 minutes into the monitoring visit, I observed one teacher supervising sixteen children ages four and five years of age. .3009 Technical Assistance: • To ensure staff/child ratio worksheets are consistently posted, I recommend implementing a classroom checklist that each teacher must complete weekly. This checklist should include a task to verify that all required postings, including the staff/child ratio, are posted and up to date in the classroom. • To prevent medical exams or health assessments from being missing in files after 30 days, I suggest utilizing the Children’s File Checklist in conjunction with the Head Start Checklist to double-check files. This will help ensure that all required documents are obtained and filed in a timely manner, supporting the health and safety of the children. • TB test results must be current and no older than 12 months. To ensure compliance, I recommend that staff members not be allowed to start work until a current TB test or screening has been completed. • Per child care rule 10A NCAC 09 .3009, NC Pre-K program staff-to-child ratios and group sizes should be maintained at all times. You stated that you were short-staffed today and had not received coverage. I suggested that you step into the classroom during these situations until coverage can arrive to maintain ratio and ensure compliance with regulations. Additionally, it may be helpful to establish a plan for such staffing shortages in advance, such as having a list of on-call substitutes or cross-trained staff who can step in when needed. This proactive approach will help minimize disruption and ensure the safety and well-being of the children. Due to the nature of the violation, I will make a follow-up visit to your facility in the near future. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/22/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 11/8/2024 Number Present: 44 Completed Date: 11/8/2024 Age: From 3 To 5 Total Minutes: 275 Time In: 09:15 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on December 13, 2023. Your facility’s compliance history score prior to today’s visit was 90%. You, Jacqueline Click, Center Manager, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 153 children on first shift, ages 0-12 with an effective date of June 7, 2017. The following restrictions are listed: daytime care only, meets enhanced ratios and space, and children under 2.5 years old in space 5 only. Your facility, owned by Salisbury-Rowan Community Action Agency Incorporated was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in group time, free choice activities indoors, and during transitions. All medications and accompanying documentation were monitored. You stated that your program does provide transportation. I monitored the two buses and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 30, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on May 21, 2024. There have been two new staff members hired since the last visit. I monitored their files and a portion of existing staff files during today’s visit. There are 51 children enrolled. I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. DIAL-4 is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, and monthly parent family engagement activities. The classrooms use ClassDojo and Remind to communicate with families. You stated the NC Pre-K Program hours for the children are 8:00 to 3:00 and the staff hours are 7:30 to 4:00. The following violations were observed during today’s visit. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 4 did not have the staff/child ratios applicable to their classroom posted. .0713(a)(10), (c) & (f)(3); .2818(e) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 9/4/2024 had a TB test completed on 5/16/2023. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/16/2024 did not have a medical exam or health assessment on file. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. Upon my arrival to Space 6 and for approximately an additional 10 minutes into the monitoring visit, I observed one teacher supervising sixteen children ages four and five years of age. .3009 Technical Assistance: • To ensure staff/child ratio worksheets are consistently posted, I recommend implementing a classroom checklist that each teacher must complete weekly. This checklist should include a task to verify that all required postings, including the staff/child ratio, are posted and up to date in the classroom. • To prevent medical exams or health assessments from being missing in files after 30 days, I suggest utilizing the Children’s File Checklist in conjunction with the Head Start Checklist to double-check files. This will help ensure that all required documents are obtained and filed in a timely manner, supporting the health and safety of the children. • TB test results must be current and no older than 12 months. To ensure compliance, I recommend that staff members not be allowed to start work until a current TB test or screening has been completed. • Per child care rule 10A NCAC 09 .3009, NC Pre-K program staff-to-child ratios and group sizes should be maintained at all times. You stated that you were short-staffed today and had not received coverage. I suggested that you step into the classroom during these situations until coverage can arrive to maintain ratio and ensure compliance with regulations. Additionally, it may be helpful to establish a plan for such staffing shortages in advance, such as having a list of on-call substitutes or cross-trained staff who can step in when needed. This proactive approach will help minimize disruption and ensure the safety and well-being of the children. Due to the nature of the violation, I will make a follow-up visit to your facility in the near future. Consultation: • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: see the real-time background check status of staff members, run a printable report of the staff roster to assist with compliance visits, see new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 11/22/2024. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 09 Section .2200, the Division of Child Development and Early Education 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. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .2200 · Violation

Name of Operation: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: 0424-289L Visit Date: 4/19/2024 Number Present: 58 Completed Date: 4/19/2024 Age: From 3 To 5 Total Minutes: 95 Time In: 12:45 PM Time Out: 02:20 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 report received in the Raleigh office. There are concerns related to sanitation and health as it pertains to the air conditioning being out of working condition in the classroom for the three-year-old children. Upon arrival, I was greeted by you, Jacqueline Click, Center Manager. The children were observed during nap time. The center's license was prominently posted. Permit restrictions. Staff/child ratio, supervision, capacity, group size and space were monitored. You stated that there are 58 children present between three aged through five years of age and there are 86 children enrolled. FINDINGS: -You stated that space 7G and 3C do not have air conditioning and work orders were completed requesting repair in August 2023. -You and I monitored the two spaces without air conditioning. Both classrooms had their door open to the hallway to help with circulation. Neither classroom had fans to help with the circulation of the air. -Space 7G felt very warm and there was no circulation of air. Staff stated that this room has been very warm. The outdoor windows were not open, and they did not have screens installed. -Space 3C had some air circulation because the windows were open but did not have screens installed. The space did not feel as warm as 7G. -You stated that the heating system is an older boiler system and does not have the capability to turn on the fan without the heat. -We were unable to determine if the temperature was over 85 degrees in spaces 7G and 3C because there was no thermometer available. Based on observations and discussions with you and staff the allegations were substantiated. The following violations were observed during today’s visit. Violation Number Comment Rule 617 All openings to the outer air were not protected against the entrance of flying pest. Space 3C had three windows opened that did not have screens on them. 15A NCAC 18A .2831(c) 9995 A violation was found for which there is no item number. 15A NCAC 18A .2826(b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. All ventilation equipment and fans shall be kept clean and in good repair. Space 3C and 7G did not have mechanical ventilation or windows with screens. TECHNICAL ASSITANCE: -We discussed notifying families about the lack of air-conditioning in the two spaces so that they can dress their children accordingly. -We discussed that fans can be used in the classrooms as long as they are at least five feet from the floor and the electrical cords are not accessible to the children. -Place thermometers in each of the spaces so that you are able to monitor the temperature. Spaces that care for children over 12 months of age are required to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. -We discussed that the windows cannot be open unless there are screens installed. I reviewed the visit summary with you during today's visit. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by May 3, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Carolyn Conley Lead Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .1003 · Violation

Name of Operation: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 57 Completed Date: 12/13/2023 Age: From 3 To 5 Total Minutes: 225 Time In: 12:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last annual compliance visit was conducted on January 18, 2023. The Environment Rating Scales (ERS) assessments were conducted in 2017. This program is part of cohort one which means that this facility will be going through the rated license process between July 1, 2024 and June 30, 2025. The 18-month compliance history is at 92%. The Secretary of State’s website was monitored and SALISBURY-ROWAN COMMUNITY ACTION AGENCY, INC. is active and current. Upon arrival, I was greeted by you, Ms. Jacqueline Click, Center Manager, and you accompanied md during the walkthrough of the facility. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during nap time, hand-washing routines, snack, free choice activities indoors and departure procedures. I observed child to staff ratios, group size and supervision in compliance. I observed positive interactions between children and staff. You stated that this program provides transportation and you sent me some of documents prior to today’s visit. I monitored the two buses today. I monitored the emergency drill report and the drills were occurring as required. I monitored the outdoor play area and the outdoor inspections. A fire inspection was completed on May 5, 2023. A sanitation inspection was completed on April 25, 2023 with six demerits and a superior rating. There have been four new staff hired since my last visit. I monitored the new staff files and a portion of of the existing staff files. There are 57 children enrolled and I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were present and monitored. The Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system prior to the visit. The staff listed in the report are the staff that are working in the NC Pre-K classroom. DIAL-4 is the developmental screening tool used. This program uses Creative Curriculum and Teaching Strategies Gold as the on-going assessment. You stated that the following family involvement activities have taken place: home visits, parent teacher conferences, school events and monthly newsletters. You stated that the children attend from 8:00am to 3:00pm and the staff work day is from 7:00am to 4:00pm. The following violations were observed during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The outdoor structure with the people and animal puzzles and the structure with the four slides had yellow paint that was chipping and peeling. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 7G had an aerosol can air freshener on a shelf less than five feet from the floor in an unlocked closet .2820(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member that began employment on 10/24/23 has not received orientation on the topic of recognizing and responding to and report child abuse neglect or maltreatment. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One child's emergency form did not include a photograph which was on the bus with tag number JAD7994. 10A NCAC 09 .1003(d) 9995 A violation was found for which there is no item number. 2820(c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. The classroom that cares for children two years of age had a hand sanitizer pump on the children's sink. There was a hand sanitizer on a key chain on the computer table in space 7G. There were hand sanitizing wipes in an unlocked container located on the bus with tag number KLC1235. TECHNICAL ASSITANCE: -Remind staff to monitor the buses prior to allowing children on to make sure that there are no hazards on the bus. They should monitor the emergency information beginning of each school year and as new children are enrolled assure that they have all the information including a picture of each child. -Post a sign on storage closets as a visual reminder to lock all cabinet doors and place the key at least five feet from the floor. -Remind staff to keep their personal belongings; including key rings with hand-sanitizer; in locked storage. -We discussed the chipping and peeling paint on two of the structures outside. You stated someone was out to monitor the equipment last week and that they are aware of this. The outdoor area needs to be monitored daily and once hazards are observed they should be repaired or removed. Consultation: -If children are involved with screen time during nap time make sure to document on the screen time log and that it does not extend over 20 minutes daily. If children are having difficulty resting during naptime it may be beneficial to give them a book to read. Screen time can be more of a stimulant. -Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available for the Environmental Rating Scale (ERS) assessments. The documentation was completed electronically and reviewed with you during the visit. I emailed you the signed visit summary and annual compliance check list for your records. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by December 27, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. 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 any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2200 · Violation

Name of Operation: PRICE HEAD START CENTER Facility ID: 8051857 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 57 Completed Date: 12/13/2023 Age: From 3 To 5 Total Minutes: 225 Time In: 12:30 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last annual compliance visit was conducted on January 18, 2023. The Environment Rating Scales (ERS) assessments were conducted in 2017. This program is part of cohort one which means that this facility will be going through the rated license process between July 1, 2024 and June 30, 2025. The 18-month compliance history is at 92%. The Secretary of State’s website was monitored and SALISBURY-ROWAN COMMUNITY ACTION AGENCY, INC. is active and current. Upon arrival, I was greeted by you, Ms. Jacqueline Click, Center Manager, and you accompanied md during the walkthrough of the facility. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during nap time, hand-washing routines, snack, free choice activities indoors and departure procedures. I observed child to staff ratios, group size and supervision in compliance. I observed positive interactions between children and staff. You stated that this program provides transportation and you sent me some of documents prior to today’s visit. I monitored the two buses today. I monitored the emergency drill report and the drills were occurring as required. I monitored the outdoor play area and the outdoor inspections. A fire inspection was completed on May 5, 2023. A sanitation inspection was completed on April 25, 2023 with six demerits and a superior rating. There have been four new staff hired since my last visit. I monitored the new staff files and a portion of of the existing staff files. There are 57 children enrolled and I monitored a portion of the children’s records. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were present and monitored. The Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system prior to the visit. The staff listed in the report are the staff that are working in the NC Pre-K classroom. DIAL-4 is the developmental screening tool used. This program uses Creative Curriculum and Teaching Strategies Gold as the on-going assessment. You stated that the following family involvement activities have taken place: home visits, parent teacher conferences, school events and monthly newsletters. You stated that the children attend from 8:00am to 3:00pm and the staff work day is from 7:00am to 4:00pm. The following violations were observed during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. The outdoor structure with the people and animal puzzles and the structure with the four slides had yellow paint that was chipping and peeling. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 7G had an aerosol can air freshener on a shelf less than five feet from the floor in an unlocked closet .2820(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member that began employment on 10/24/23 has not received orientation on the topic of recognizing and responding to and report child abuse neglect or maltreatment. .1101(a)(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One child's emergency form did not include a photograph which was on the bus with tag number JAD7994. 10A NCAC 09 .1003(d) 9995 A violation was found for which there is no item number. 2820(c) Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent (soapy water) solutions. Hand soap other than that which is in bulk containers is not required to be kept out of reach of children or in locked storage. The classroom that cares for children two years of age had a hand sanitizer pump on the children's sink. There was a hand sanitizer on a key chain on the computer table in space 7G. There were hand sanitizing wipes in an unlocked container located on the bus with tag number KLC1235. TECHNICAL ASSITANCE: -Remind staff to monitor the buses prior to allowing children on to make sure that there are no hazards on the bus. They should monitor the emergency information beginning of each school year and as new children are enrolled assure that they have all the information including a picture of each child. -Post a sign on storage closets as a visual reminder to lock all cabinet doors and place the key at least five feet from the floor. -Remind staff to keep their personal belongings; including key rings with hand-sanitizer; in locked storage. -We discussed the chipping and peeling paint on two of the structures outside. You stated someone was out to monitor the equipment last week and that they are aware of this. The outdoor area needs to be monitored daily and once hazards are observed they should be repaired or removed. Consultation: -If children are involved with screen time during nap time make sure to document on the screen time log and that it does not extend over 20 minutes daily. If children are having difficulty resting during naptime it may be beneficial to give them a book to read. Screen time can be more of a stimulant. -Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available for the Environmental Rating Scale (ERS) assessments. The documentation was completed electronically and reviewed with you during the visit. I emailed you the signed visit summary and annual compliance check list for your records. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by December 27, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. 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 any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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