G.S. 110-90 · Violation

Name of Operation: CADA AT SCOTLAND NECK HEAD START/EARLY HEAD START Facility ID: 42000150 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 25 Completed Date: 4/1/2025 Age: From 1 To 5 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. C. James, Center Manager, was present and available to assist with today’s visit. Your program currently operates as a Head Start and Early Head Start program, with a four-star license issued on April 3, 2020, earning 5 points in the education component, 6 points in the program standards component, and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on May 8, 2024. The sanitation inspection was completed on January 7, 2025, with a “Superior” classification “7” demerits. The fire inspection was completed on March 25, 2025, and was marked as unsatisfactory. The license was posted, and the restrictions were in compliance. Twenty-five (25) children from ages one (1) to five (5) years old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed eating the following for breakfast: cinnamon toast, apple sauce, apple juice, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. An unsatisfactory fire inspection was completed on March 25, 2025. 10A NCAC 09 .0601(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. C. James' file did not have documentation of completing an annual staff development plan. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS Moodle training has not been completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated in the NC Risk management portal on September 7, 2023. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 14, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC.is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of existing staff files were reviewed to day. The file reviewed today was incomplete. Ten percent (10%) of children’s files were reviewed. The files were found to be in compliance. STAFF DEVELOPMENT PLAN: C. James file did not have documentation of completing an annual staff development plan. Please remember all staff must complete an annual staff development plan. ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on March 25, 2025. The inspection was marked “unsatisfactory” by the fire marshal. Please correct the items listed on the fire inspection report immediately and have the fire marshal completed a follow-up visit. Once the fire marshal completes the follow-up visit please send the completed inspection to me as soon as possible. Having an unsatisfactory fire inspection may warrant an administrative action. ABCMS CRIMINAL BACKGROUND CHECK MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. You stated you have created a business NCID and I sent you a link to complete the moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: Your EPR plan was last updated in the NC Risk management portal on September 7, 2023. EPR plans must be reviewed in the NC Risk Management Portal annually. If there are changes, please print the updated EPR plan. If there are no changes, please print the page that shows you reviewed the plan. You can go to the NC Risk Management Portal at https://rmp.nc.gov/portal/ . SAFE INDOOR AND OUTDOOR PLAN: There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. You immediately removed the bottle. This was corrected during the visit. ADMINISTRATOR: You C. James stated that you have sent your information to the main head start office to be submitted to DCDEE WORKS to have your education evaluated for administrator. I have provided you with a preservice for administrators form to fill out and send back to me once you have received your DCDEE WORKS letter. I also provided you with information on how to create a DCDEE WORKS account and suggested that you go through and practice using the DCDEE WORKS training simulator: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS to help you navigate the DCDEE WORKS portal. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website your program has not begun enrollment in the lead water, lead paint, or asbestos testing. All child care programs must test their water every three (3) years. Please go to the Clean Water for Us Kids website at: https://www.cleanwaterforuskids.org/en/carolina/ to complete the enrollment process. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CADA AT SCOTLAND NECK HEAD START/EARLY HEAD START Facility ID: 42000150 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 25 Completed Date: 4/1/2025 Age: From 1 To 5 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. C. James, Center Manager, was present and available to assist with today’s visit. Your program currently operates as a Head Start and Early Head Start program, with a four-star license issued on April 3, 2020, earning 5 points in the education component, 6 points in the program standards component, and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on May 8, 2024. The sanitation inspection was completed on January 7, 2025, with a “Superior” classification “7” demerits. The fire inspection was completed on March 25, 2025, and was marked as unsatisfactory. The license was posted, and the restrictions were in compliance. Twenty-five (25) children from ages one (1) to five (5) years old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed eating the following for breakfast: cinnamon toast, apple sauce, apple juice, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. An unsatisfactory fire inspection was completed on March 25, 2025. 10A NCAC 09 .0601(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. C. James' file did not have documentation of completing an annual staff development plan. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS Moodle training has not been completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated in the NC Risk management portal on September 7, 2023. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 14, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC.is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of existing staff files were reviewed to day. The file reviewed today was incomplete. Ten percent (10%) of children’s files were reviewed. The files were found to be in compliance. STAFF DEVELOPMENT PLAN: C. James file did not have documentation of completing an annual staff development plan. Please remember all staff must complete an annual staff development plan. ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on March 25, 2025. The inspection was marked “unsatisfactory” by the fire marshal. Please correct the items listed on the fire inspection report immediately and have the fire marshal completed a follow-up visit. Once the fire marshal completes the follow-up visit please send the completed inspection to me as soon as possible. Having an unsatisfactory fire inspection may warrant an administrative action. ABCMS CRIMINAL BACKGROUND CHECK MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. You stated you have created a business NCID and I sent you a link to complete the moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: Your EPR plan was last updated in the NC Risk management portal on September 7, 2023. EPR plans must be reviewed in the NC Risk Management Portal annually. If there are changes, please print the updated EPR plan. If there are no changes, please print the page that shows you reviewed the plan. You can go to the NC Risk Management Portal at https://rmp.nc.gov/portal/ . SAFE INDOOR AND OUTDOOR PLAN: There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. You immediately removed the bottle. This was corrected during the visit. ADMINISTRATOR: You C. James stated that you have sent your information to the main head start office to be submitted to DCDEE WORKS to have your education evaluated for administrator. I have provided you with a preservice for administrators form to fill out and send back to me once you have received your DCDEE WORKS letter. I also provided you with information on how to create a DCDEE WORKS account and suggested that you go through and practice using the DCDEE WORKS training simulator: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS to help you navigate the DCDEE WORKS portal. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website your program has not begun enrollment in the lead water, lead paint, or asbestos testing. All child care programs must test their water every three (3) years. Please go to the Clean Water for Us Kids website at: https://www.cleanwaterforuskids.org/en/carolina/ to complete the enrollment process. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CADA AT SCOTLAND NECK HEAD START/EARLY HEAD START Facility ID: 42000150 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 25 Completed Date: 4/1/2025 Age: From 1 To 5 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. C. James, Center Manager, was present and available to assist with today’s visit. Your program currently operates as a Head Start and Early Head Start program, with a four-star license issued on April 3, 2020, earning 5 points in the education component, 6 points in the program standards component, and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on May 8, 2024. The sanitation inspection was completed on January 7, 2025, with a “Superior” classification “7” demerits. The fire inspection was completed on March 25, 2025, and was marked as unsatisfactory. The license was posted, and the restrictions were in compliance. Twenty-five (25) children from ages one (1) to five (5) years old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed eating the following for breakfast: cinnamon toast, apple sauce, apple juice, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. An unsatisfactory fire inspection was completed on March 25, 2025. 10A NCAC 09 .0601(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. C. James' file did not have documentation of completing an annual staff development plan. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS Moodle training has not been completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated in the NC Risk management portal on September 7, 2023. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 14, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC.is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of existing staff files were reviewed to day. The file reviewed today was incomplete. Ten percent (10%) of children’s files were reviewed. The files were found to be in compliance. STAFF DEVELOPMENT PLAN: C. James file did not have documentation of completing an annual staff development plan. Please remember all staff must complete an annual staff development plan. ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on March 25, 2025. The inspection was marked “unsatisfactory” by the fire marshal. Please correct the items listed on the fire inspection report immediately and have the fire marshal completed a follow-up visit. Once the fire marshal completes the follow-up visit please send the completed inspection to me as soon as possible. Having an unsatisfactory fire inspection may warrant an administrative action. ABCMS CRIMINAL BACKGROUND CHECK MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. You stated you have created a business NCID and I sent you a link to complete the moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: Your EPR plan was last updated in the NC Risk management portal on September 7, 2023. EPR plans must be reviewed in the NC Risk Management Portal annually. If there are changes, please print the updated EPR plan. If there are no changes, please print the page that shows you reviewed the plan. You can go to the NC Risk Management Portal at https://rmp.nc.gov/portal/ . SAFE INDOOR AND OUTDOOR PLAN: There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. You immediately removed the bottle. This was corrected during the visit. ADMINISTRATOR: You C. James stated that you have sent your information to the main head start office to be submitted to DCDEE WORKS to have your education evaluated for administrator. I have provided you with a preservice for administrators form to fill out and send back to me once you have received your DCDEE WORKS letter. I also provided you with information on how to create a DCDEE WORKS account and suggested that you go through and practice using the DCDEE WORKS training simulator: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS to help you navigate the DCDEE WORKS portal. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website your program has not begun enrollment in the lead water, lead paint, or asbestos testing. All child care programs must test their water every three (3) years. Please go to the Clean Water for Us Kids website at: https://www.cleanwaterforuskids.org/en/carolina/ to complete the enrollment process. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: CADA AT SCOTLAND NECK HEAD START/EARLY HEAD START Facility ID: 42000150 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/1/2025 Number Present: 25 Completed Date: 4/1/2025 Age: From 1 To 5 Total Minutes: 185 Time In: 09:10 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. C. James, Center Manager, was present and available to assist with today’s visit. Your program currently operates as a Head Start and Early Head Start program, with a four-star license issued on April 3, 2020, earning 5 points in the education component, 6 points in the program standards component, and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on May 8, 2024. The sanitation inspection was completed on January 7, 2025, with a “Superior” classification “7” demerits. The fire inspection was completed on March 25, 2025, and was marked as unsatisfactory. The license was posted, and the restrictions were in compliance. Twenty-five (25) children from ages one (1) to five (5) years old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed eating the following for breakfast: cinnamon toast, apple sauce, apple juice, and milk. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. An unsatisfactory fire inspection was completed on March 25, 2025. 10A NCAC 09 .0601(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. C. James' file did not have documentation of completing an annual staff development plan. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS Moodle training has not been completed. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was last updated in the NC Risk management portal on September 7, 2023. .0607(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 14, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 93%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC.is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN RECORDS: Ten percent (10%) of existing staff files were reviewed to day. The file reviewed today was incomplete. Ten percent (10%) of children’s files were reviewed. The files were found to be in compliance. STAFF DEVELOPMENT PLAN: C. James file did not have documentation of completing an annual staff development plan. Please remember all staff must complete an annual staff development plan. ANNUAL INSPECTIONS (FIRE INSPECTION): A fire inspection was completed on March 25, 2025. The inspection was marked “unsatisfactory” by the fire marshal. Please correct the items listed on the fire inspection report immediately and have the fire marshal completed a follow-up visit. Once the fire marshal completes the follow-up visit please send the completed inspection to me as soon as possible. Having an unsatisfactory fire inspection may warrant an administrative action. ABCMS CRIMINAL BACKGROUND CHECK MOODLE TRAINING: You stated you did not complete the ABCMS Moodle training. We discussed the training and how to access it at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. You stated you have created a business NCID and I sent you a link to complete the moodle training. I also emailed you the instructions on how to have your staff connect their existing application to your facility. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) PLAN: Your EPR plan was last updated in the NC Risk management portal on September 7, 2023. EPR plans must be reviewed in the NC Risk Management Portal annually. If there are changes, please print the updated EPR plan. If there are no changes, please print the page that shows you reviewed the plan. You can go to the NC Risk Management Portal at https://rmp.nc.gov/portal/ . SAFE INDOOR AND OUTDOOR PLAN: There was a bottle of hand sanitizer with an extra warning to “keep out of reach of children and call poison control if swallowed” on the table in the hallway where children walk through. You immediately removed the bottle. This was corrected during the visit. ADMINISTRATOR: You C. James stated that you have sent your information to the main head start office to be submitted to DCDEE WORKS to have your education evaluated for administrator. I have provided you with a preservice for administrators form to fill out and send back to me once you have received your DCDEE WORKS letter. I also provided you with information on how to create a DCDEE WORKS account and suggested that you go through and practice using the DCDEE WORKS training simulator: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS to help you navigate the DCDEE WORKS portal. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website your program has not begun enrollment in the lead water, lead paint, or asbestos testing. All child care programs must test their water every three (3) years. Please go to the Clean Water for Us Kids website at: https://www.cleanwaterforuskids.org/en/carolina/ to complete the enrollment process. Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids™ enrollment deadline has been revised statewide, and schools and child care facilities that have not yet enrolled should complete the online process by May 31, 2025. The lead-based paint and asbestos enrollment surveys must be completed for ALL schools and child care facilities within school districts prior to receiving on-site inspections. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CADA AT SCOTLAND NECK HEAD START/EARLY HEAD START Facility ID: 42000150 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/5/2025 Number Present: 20 Completed Date: 2/5/2025 Age: From 1 To 5 Total Minutes: 115 Time In: 11:45 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. C. James, Center Manager, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued on April 3, 2020, earning 5 points in the education component, 6 points in the program standards component, and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on May 8, 2024. The sanitation inspection was completed on January 7, 2025, with a “Superior” classification “7” demerits. The fire inspection was completed on May 1, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty (20) children from ages one (1) to five (5) years old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were engaging in group time and rest time. The following items were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground that the three (3) and four (4) year old children use, part of the under pinning on the side of the building was off and smashed and the wheels of the mobile building and some of the piping were exposed. 10A NCAC 09 .0601(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. Ms. Spruill began employment on February 22, 2024. Her First Aid needed to be completed by May 22, 2024. .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. Ms. Spruill began employment on February 22, 2024. Her CPR needed to be completed by May 22, 2024. .1102(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 98%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC.is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF FILES: One new substitute staff file was reviewed today. C. Dickens began employment on January 30, 2025. Ms. Dickens had a valid criminal background check, health questionnaire and emergency information form, and Recognizing and Responding to Suspicions of Child Maltreatment, current health assessments, and a negative TB test. Ms. Dickens has 90 days from her first day of employment to receive first aid and CPR. If Ms. Dickens works more than 10 days in a year, she will need to complete the following: the health and safety trainings on or prior to January 30, 2026, staff evaluation and professional development plan prior to January 30, 2026. SAFE INDOOR AND OUTDOOR ENVIRONEMNT: On the playground that the three (3) and four (4) year old children use, part of the under pinning on the side of the building was off and smashed and the wheels of the mobile building and some of the piping and wires were exposed. This could cause harm to children if they were to crawl into this space. Remind all staff to check for hazards before the children play on the playground. You called the maintenance department immediately and he was able to come out and fix the under pinning so that children were not able to access the underneath of the building; however he stated that section of the under pinning needed to be replaced. This was corrected during the visit. CPR AND FIRST AID: Ms. Spruill began employment on February 22, 2024. Her CPR and First Aid needed to be completed by May 22, 2024. Ms. Spruill did not have documentation of completing First Aid and CPR. You stated she is taking the scheduled to take the training. Once the training is completed please place the documentation in her file. As are reminder, Ms. Cross’ CPR and First Aid certification needs to be renewed by February 9, 2025. You she stated she is scheduled to take the class. ADMINISTRATOR: You C. James stated that you have sent your information to the main head start office to be submitted to DCDEE WORKS to have your education evaluated for administrator. I have provided you with a preservice for administrators form to fill out and send back to me once you have received your DCDEE WORKS letter. I also provided you with information on how to create a DCDEE WORKS account and suggested that you go through and practice using the DCDEE WORKS training simulator: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS to help you navigate the DCDEE WORKS portal. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website your program has not begun enrollment in the lead water, lead paint, or asbestos testing. All child care programs must test their water every three (3) years. Please go to the Clean Water for Us Kids website at: https://www.cleanwaterforuskids.org/en/carolina/ to complete the enrollment process. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new 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 1-800-859-0829 and someone will assist you. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CADA AT SCOTLAND NECK HEAD START/EARLY HEAD START Facility ID: 42000150 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/5/2025 Number Present: 20 Completed Date: 2/5/2025 Age: From 1 To 5 Total Minutes: 115 Time In: 11:45 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. C. James, Center Manager, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued on April 3, 2020, earning 5 points in the education component, 6 points in the program standards component, and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on May 8, 2024. The sanitation inspection was completed on January 7, 2025, with a “Superior” classification “7” demerits. The fire inspection was completed on May 1, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty (20) children from ages one (1) to five (5) years old were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were engaging in group time and rest time. The following items were monitored: Supervision, Staff Child Ratio, First Aid, CPR, ITS SIDS, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground that the three (3) and four (4) year old children use, part of the under pinning on the side of the building was off and smashed and the wheels of the mobile building and some of the piping were exposed. 10A NCAC 09 .0601(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. Ms. Spruill began employment on February 22, 2024. Her First Aid needed to be completed by May 22, 2024. .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. Ms. Spruill began employment on February 22, 2024. Her CPR needed to be completed by May 22, 2024. .1102(d) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your center’s Compliance History score, over an 18-month period time frame, is 98%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC.is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, CHOANOKE AREA DEVELOPMENT ASSOCIATION OF NC, INC. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss changes of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF FILES: One new substitute staff file was reviewed today. C. Dickens began employment on January 30, 2025. Ms. Dickens had a valid criminal background check, health questionnaire and emergency information form, and Recognizing and Responding to Suspicions of Child Maltreatment, current health assessments, and a negative TB test. Ms. Dickens has 90 days from her first day of employment to receive first aid and CPR. If Ms. Dickens works more than 10 days in a year, she will need to complete the following: the health and safety trainings on or prior to January 30, 2026, staff evaluation and professional development plan prior to January 30, 2026. SAFE INDOOR AND OUTDOOR ENVIRONEMNT: On the playground that the three (3) and four (4) year old children use, part of the under pinning on the side of the building was off and smashed and the wheels of the mobile building and some of the piping and wires were exposed. This could cause harm to children if they were to crawl into this space. Remind all staff to check for hazards before the children play on the playground. You called the maintenance department immediately and he was able to come out and fix the under pinning so that children were not able to access the underneath of the building; however he stated that section of the under pinning needed to be replaced. This was corrected during the visit. CPR AND FIRST AID: Ms. Spruill began employment on February 22, 2024. Her CPR and First Aid needed to be completed by May 22, 2024. Ms. Spruill did not have documentation of completing First Aid and CPR. You stated she is taking the scheduled to take the training. Once the training is completed please place the documentation in her file. As are reminder, Ms. Cross’ CPR and First Aid certification needs to be renewed by February 9, 2025. You she stated she is scheduled to take the class. ADMINISTRATOR: You C. James stated that you have sent your information to the main head start office to be submitted to DCDEE WORKS to have your education evaluated for administrator. I have provided you with a preservice for administrators form to fill out and send back to me once you have received your DCDEE WORKS letter. I also provided you with information on how to create a DCDEE WORKS account and suggested that you go through and practice using the DCDEE WORKS training simulator: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS to help you navigate the DCDEE WORKS portal. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website your program has not begun enrollment in the lead water, lead paint, or asbestos testing. All child care programs must test their water every three (3) years. Please go to the Clean Water for Us Kids website at: https://www.cleanwaterforuskids.org/en/carolina/ to complete the enrollment process. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new 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 1-800-859-0829 and someone will assist you. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times