10A NCAC 09 .1102 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/10/2025 Number Present: 24 Completed Date: 7/10/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 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 childcare requirements for a routine unannounced visit. This visit was conducted with Debbie Crouse, Director. Your program currently operates with a FIVE Star license issued 10/30/17. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The NC Secretary of State website was reviewed on 7/7/25 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play on the playground area before the rains start and preparing for lunch. Two (2) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 6/19/25. A fire drill was recorded 6/16/25 at 9:42 am with two (2) minutes and thirty-two (32) seconds to evacuate twenty-six (26) children and ten (10) adults by D. Crouse. A shelter in place emergency drill for the facility was recorded 4/25/25 at 7:52 am with one (1) minute, three (3) seconds to shelter-in-place by D. Crouse. The most recent fire inspection was on 2/23/25. I observed a sanitation inspection was last conducted on 6/23/25 earning a Superior classification with thirteen (13) demerits. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. One new staff did not current documentation of certification in First Aid. .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. One new staff did not have documentation of certification of CPR. .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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, July 24, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • All staff are required to have First Aid/CPR within 90 days of hire. See Childcare rules 10A NCAC 09 .1102 (c)&(d). This rule is so that staff are familiar with how to proceed in the event of a first aid or a CPR emergency. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The QRIS is being implemented. ITERS-3 & ECERS-3 are now being used for assessments. • You confirmed with me today that your email address is: blueridgedevelopmental@gmail.com • Go to the DCDEE website and sign up for the Raise NC newsletter. All new information regarding the QRIS will be in these newsletters. Stay up to date. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 kaern.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/10/2025 Number Present: 24 Completed Date: 7/10/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 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 childcare requirements for a routine unannounced visit. This visit was conducted with Debbie Crouse, Director. Your program currently operates with a FIVE Star license issued 10/30/17. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The NC Secretary of State website was reviewed on 7/7/25 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having outdoor gross motor play on the playground area before the rains start and preparing for lunch. Two (2) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 6/19/25. A fire drill was recorded 6/16/25 at 9:42 am with two (2) minutes and thirty-two (32) seconds to evacuate twenty-six (26) children and ten (10) adults by D. Crouse. A shelter in place emergency drill for the facility was recorded 4/25/25 at 7:52 am with one (1) minute, three (3) seconds to shelter-in-place by D. Crouse. The most recent fire inspection was on 2/23/25. I observed a sanitation inspection was last conducted on 6/23/25 earning a Superior classification with thirteen (13) demerits. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. One new staff did not current documentation of certification in First Aid. .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. One new staff did not have documentation of certification of CPR. .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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, July 24, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • All staff are required to have First Aid/CPR within 90 days of hire. See Childcare rules 10A NCAC 09 .1102 (c)&(d). This rule is so that staff are familiar with how to proceed in the event of a first aid or a CPR emergency. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The QRIS is being implemented. ITERS-3 & ECERS-3 are now being used for assessments. • You confirmed with me today that your email address is: blueridgedevelopmental@gmail.com • Go to the DCDEE website and sign up for the Raise NC newsletter. All new information regarding the QRIS will be in these newsletters. Stay up to date. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 kaern.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 1 To 4 Total Minutes: 110 Time In: 09:30 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Debbie Crouse, Director, assisted me with the visit. Your program currently operates with a FIVE (5) Star license effective 10/30/17. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time today. Infants were having rug playtime and engaged with their teacher. Two (2) new staff were reported at this program today. They are re-hires. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No prescription medications were observed nor reported. Over the counter diaper creams and ointments were monitored today. Storage hazardous items was monitored today. A playground inspection was recorded 6/20/24 by D. Crouse with items noted on the inspection sheet resolved. A fire drill was recorded 6/21/24 at 10:11 am with two (2) minutes, forty-four (44) seconds to evacuate twenty-one (21) children and six (6) adults by D. Crouse. A lockdown drill for the facility was last recorded 5/10/24 at 8:04 am with one (1) minute, two (2) seconds to lockdown by D. Crouse. The most recent fire inspection was on 2/23/24. I observed a sanitation inspection was last conducted on 4/25/24 earning a Superior classification with thirteen (13) demerits. You stated that you do not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed plant growth coming through the fence line on the large playground. This is a hazadrd to the children as some plants may be poisonous to children. Visibility is limited to seeing any vermin coming through the fence that would be hazardous to childrenon the playground. Cut back the growth on the fence line at least one (1) foot back from fence. 10A NCAC 09 .0601(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, August 8, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Growth coming through the fence line allows for toxic plants to be exposed to children on the playground. It also makes it more difficult to see any vermin that may come through the fence onto the playground exposing children to the danger of being bitten by snakes, vermin, etc. See Child Care Rule 10A NCAC 09 .0601(a) and .0604(l). Consultation during today’s visit: • You must give me thirty (30) day notice for any change in location, address, or ownership status. • You are in Cohort 1. Your prep year is over, and you are now in your reassessment year, however, the Cohorts are on hold. You are still in Hold & Harmless. I will let you know of any updates as I am made aware by the Division. • The U.S. Consumer Product Safety Commission has recalled a few items. Within this email, I’ve provided you with a description of the recalled products and a link summarizing the recall and associated product. • Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard • Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon • Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express • Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online • Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online • Please share the above information with families, as a few of these items might be used in a child’s home and not in child care facilities. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 1 To 4 Total Minutes: 110 Time In: 09:30 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Debbie Crouse, Director, assisted me with the visit. Your program currently operates with a FIVE (5) Star license effective 10/30/17. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time today. Infants were having rug playtime and engaged with their teacher. Two (2) new staff were reported at this program today. They are re-hires. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No prescription medications were observed nor reported. Over the counter diaper creams and ointments were monitored today. Storage hazardous items was monitored today. A playground inspection was recorded 6/20/24 by D. Crouse with items noted on the inspection sheet resolved. A fire drill was recorded 6/21/24 at 10:11 am with two (2) minutes, forty-four (44) seconds to evacuate twenty-one (21) children and six (6) adults by D. Crouse. A lockdown drill for the facility was last recorded 5/10/24 at 8:04 am with one (1) minute, two (2) seconds to lockdown by D. Crouse. The most recent fire inspection was on 2/23/24. I observed a sanitation inspection was last conducted on 4/25/24 earning a Superior classification with thirteen (13) demerits. You stated that you do not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed plant growth coming through the fence line on the large playground. This is a hazadrd to the children as some plants may be poisonous to children. Visibility is limited to seeing any vermin coming through the fence that would be hazardous to childrenon the playground. Cut back the growth on the fence line at least one (1) foot back from fence. 10A NCAC 09 .0601(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, August 8, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Growth coming through the fence line allows for toxic plants to be exposed to children on the playground. It also makes it more difficult to see any vermin that may come through the fence onto the playground exposing children to the danger of being bitten by snakes, vermin, etc. See Child Care Rule 10A NCAC 09 .0601(a) and .0604(l). Consultation during today’s visit: • You must give me thirty (30) day notice for any change in location, address, or ownership status. • You are in Cohort 1. Your prep year is over, and you are now in your reassessment year, however, the Cohorts are on hold. You are still in Hold & Harmless. I will let you know of any updates as I am made aware by the Division. • The U.S. Consumer Product Safety Commission has recalled a few items. Within this email, I’ve provided you with a description of the recalled products and a link summarizing the recall and associated product. • Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard • Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon • Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express • Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online • Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online • Please share the above information with families, as a few of these items might be used in a child’s home and not in child care facilities. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/25/2024 Number Present: 25 Completed Date: 7/25/2024 Age: From 1 To 4 Total Minutes: 110 Time In: 09:30 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Debbie Crouse, Director, assisted me with the visit. Your program currently operates with a FIVE (5) Star license effective 10/30/17. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time today. Infants were having rug playtime and engaged with their teacher. Two (2) new staff were reported at this program today. They are re-hires. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No prescription medications were observed nor reported. Over the counter diaper creams and ointments were monitored today. Storage hazardous items was monitored today. A playground inspection was recorded 6/20/24 by D. Crouse with items noted on the inspection sheet resolved. A fire drill was recorded 6/21/24 at 10:11 am with two (2) minutes, forty-four (44) seconds to evacuate twenty-one (21) children and six (6) adults by D. Crouse. A lockdown drill for the facility was last recorded 5/10/24 at 8:04 am with one (1) minute, two (2) seconds to lockdown by D. Crouse. The most recent fire inspection was on 2/23/24. I observed a sanitation inspection was last conducted on 4/25/24 earning a Superior classification with thirteen (13) demerits. You stated that you do not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. I observed plant growth coming through the fence line on the large playground. This is a hazadrd to the children as some plants may be poisonous to children. Visibility is limited to seeing any vermin coming through the fence that would be hazardous to childrenon the playground. Cut back the growth on the fence line at least one (1) foot back from fence. 10A NCAC 09 .0601(a) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, August 8, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Growth coming through the fence line allows for toxic plants to be exposed to children on the playground. It also makes it more difficult to see any vermin that may come through the fence onto the playground exposing children to the danger of being bitten by snakes, vermin, etc. See Child Care Rule 10A NCAC 09 .0601(a) and .0604(l). Consultation during today’s visit: • You must give me thirty (30) day notice for any change in location, address, or ownership status. • You are in Cohort 1. Your prep year is over, and you are now in your reassessment year, however, the Cohorts are on hold. You are still in Hold & Harmless. I will let you know of any updates as I am made aware by the Division. • The U.S. Consumer Product Safety Commission has recalled a few items. Within this email, I’ve provided you with a description of the recalled products and a link summarizing the recall and associated product. • Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard • Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon • Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express • Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online • Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online • Please share the above information with families, as a few of these items might be used in a child’s home and not in child care facilities. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 25 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 196 Time In: 09:59 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Debbie Crouse, Director. Your program currently operates with a FIVE (5) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/26/24 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch and nap time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The children are learning about Artic animals. The last annual compliance visit was conducted on 2/22/23. A sanitation inspection was completed 12/12/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 1/27/23 and a copy was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/12/24 at 9:34 am with one (1) minute and fifty-nine (59) seconds to evacuate eighteen (18) children and seven (7) adults by D. Crouse. A lockdown drill was documented on 11/29/23 at 2:58 pm with one (1) minute, nineteen (19) seconds to lockdown by D. Crouse. An outdoor inspection was documented on 1/22/24 with two (2) issues noted on the playground inspection checklist by D. Crouse. I recommend that you continue to note on the inspection checklist where the issue occurred and on which playground. Staff files and children’s records were monitored per DCDEE procedures. I monitored one (1) new staff member, two (2) board members, and the director file today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications other than the over-the-counter diaper creams and ointments monitored today. There was one (1) staff allergy to tree nuts and peanuts reported today. Documentation of this allergy is noted in all classrooms throughout the center. This program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There ia a PVC pipe with an opening at the top where children could possible get their foot or leg caught. The pipe is located on the back playground to the right where the corner of the building and the fence come together. 10A NCAC 09 .0601(a) 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. A Child in Space 4 had an over the counter Desitin Cream to adminiter but there was no permission to adminiter form filled out by the parent. Ms. Crouse, director contacted the parent during the visit today, scanned her the permission to adminiter form. The parent completed and scanned the form back to the center during my visit today. Ms. Crouse took the form down to the classroom to file during my visit. This violation was corrected during the visit today. 10A NCAC 09 .0803(9)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, February 12, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All medication must have parental permission documented on the DCDEE Permission to Administer Medication form found on our website, under Provider>forms and documents>Permission to Administer Medication. Refer to Child Care Rule 10A NCAC 09.0803(d)(a-d). * The hole in the top of the pipe is a hazard to children as they could get theri foot or leg caught. Refer to child care Rule 10A NCAC 09.0601 for safe environments. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 1 for license reassessment which means your prep year will be 7/1/23- 6/30/24 and your license reassessment year will be 7/1/24-6/30/25. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • Make sure all staff education has been submitted into DCDEE WORKS for evaluation. Directions for submitting are on the DCDEE website. • Request mock assessments be conducted by your local Partnership. • There is a new Summary of the Law poster and a new Staff & Training worksheet on our website under Provider>forms and documents> summary of the Law, & Staff & Training worksheet. • We discusses that the EPR plan must be reviewed annually with your staff and the 1st page printed off with the date of going into the portal on that 1st page of the EPR. You are to make any changes necessary and review with your staff. If no changes are made you are to still review with your staff annually. If not reviewed annually, you will be locked out of the portal and you will need to email me for further directions on accessing the EPR portal. • We discussed a PVC pipe with an opening at the top of the pipe, on the back playground to the right side at the corner of where the building and the fence come together. At the completion of the visit, this visit summary was reviewed with you and provided for you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 25 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 196 Time In: 09:59 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Debbie Crouse, Director. Your program currently operates with a FIVE (5) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/26/24 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch and nap time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The children are learning about Artic animals. The last annual compliance visit was conducted on 2/22/23. A sanitation inspection was completed 12/12/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 1/27/23 and a copy was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/12/24 at 9:34 am with one (1) minute and fifty-nine (59) seconds to evacuate eighteen (18) children and seven (7) adults by D. Crouse. A lockdown drill was documented on 11/29/23 at 2:58 pm with one (1) minute, nineteen (19) seconds to lockdown by D. Crouse. An outdoor inspection was documented on 1/22/24 with two (2) issues noted on the playground inspection checklist by D. Crouse. I recommend that you continue to note on the inspection checklist where the issue occurred and on which playground. Staff files and children’s records were monitored per DCDEE procedures. I monitored one (1) new staff member, two (2) board members, and the director file today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications other than the over-the-counter diaper creams and ointments monitored today. There was one (1) staff allergy to tree nuts and peanuts reported today. Documentation of this allergy is noted in all classrooms throughout the center. This program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There ia a PVC pipe with an opening at the top where children could possible get their foot or leg caught. The pipe is located on the back playground to the right where the corner of the building and the fence come together. 10A NCAC 09 .0601(a) 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. A Child in Space 4 had an over the counter Desitin Cream to adminiter but there was no permission to adminiter form filled out by the parent. Ms. Crouse, director contacted the parent during the visit today, scanned her the permission to adminiter form. The parent completed and scanned the form back to the center during my visit today. Ms. Crouse took the form down to the classroom to file during my visit. This violation was corrected during the visit today. 10A NCAC 09 .0803(9)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, February 12, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All medication must have parental permission documented on the DCDEE Permission to Administer Medication form found on our website, under Provider>forms and documents>Permission to Administer Medication. Refer to Child Care Rule 10A NCAC 09.0803(d)(a-d). * The hole in the top of the pipe is a hazard to children as they could get theri foot or leg caught. Refer to child care Rule 10A NCAC 09.0601 for safe environments. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 1 for license reassessment which means your prep year will be 7/1/23- 6/30/24 and your license reassessment year will be 7/1/24-6/30/25. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • Make sure all staff education has been submitted into DCDEE WORKS for evaluation. Directions for submitting are on the DCDEE website. • Request mock assessments be conducted by your local Partnership. • There is a new Summary of the Law poster and a new Staff & Training worksheet on our website under Provider>forms and documents> summary of the Law, & Staff & Training worksheet. • We discusses that the EPR plan must be reviewed annually with your staff and the 1st page printed off with the date of going into the portal on that 1st page of the EPR. You are to make any changes necessary and review with your staff. If no changes are made you are to still review with your staff annually. If not reviewed annually, you will be locked out of the portal and you will need to email me for further directions on accessing the EPR portal. • We discussed a PVC pipe with an opening at the top of the pipe, on the back playground to the right side at the corner of where the building and the fence come together. At the completion of the visit, this visit summary was reviewed with you and provided for you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0601 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 25 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 196 Time In: 09:59 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Debbie Crouse, Director. Your program currently operates with a FIVE (5) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/26/24 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch and nap time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The children are learning about Artic animals. The last annual compliance visit was conducted on 2/22/23. A sanitation inspection was completed 12/12/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 1/27/23 and a copy was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/12/24 at 9:34 am with one (1) minute and fifty-nine (59) seconds to evacuate eighteen (18) children and seven (7) adults by D. Crouse. A lockdown drill was documented on 11/29/23 at 2:58 pm with one (1) minute, nineteen (19) seconds to lockdown by D. Crouse. An outdoor inspection was documented on 1/22/24 with two (2) issues noted on the playground inspection checklist by D. Crouse. I recommend that you continue to note on the inspection checklist where the issue occurred and on which playground. Staff files and children’s records were monitored per DCDEE procedures. I monitored one (1) new staff member, two (2) board members, and the director file today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications other than the over-the-counter diaper creams and ointments monitored today. There was one (1) staff allergy to tree nuts and peanuts reported today. Documentation of this allergy is noted in all classrooms throughout the center. This program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There ia a PVC pipe with an opening at the top where children could possible get their foot or leg caught. The pipe is located on the back playground to the right where the corner of the building and the fence come together. 10A NCAC 09 .0601(a) 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. A Child in Space 4 had an over the counter Desitin Cream to adminiter but there was no permission to adminiter form filled out by the parent. Ms. Crouse, director contacted the parent during the visit today, scanned her the permission to adminiter form. The parent completed and scanned the form back to the center during my visit today. Ms. Crouse took the form down to the classroom to file during my visit. This violation was corrected during the visit today. 10A NCAC 09 .0803(9)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, February 12, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All medication must have parental permission documented on the DCDEE Permission to Administer Medication form found on our website, under Provider>forms and documents>Permission to Administer Medication. Refer to Child Care Rule 10A NCAC 09.0803(d)(a-d). * The hole in the top of the pipe is a hazard to children as they could get theri foot or leg caught. Refer to child care Rule 10A NCAC 09.0601 for safe environments. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 1 for license reassessment which means your prep year will be 7/1/23- 6/30/24 and your license reassessment year will be 7/1/24-6/30/25. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • Make sure all staff education has been submitted into DCDEE WORKS for evaluation. Directions for submitting are on the DCDEE website. • Request mock assessments be conducted by your local Partnership. • There is a new Summary of the Law poster and a new Staff & Training worksheet on our website under Provider>forms and documents> summary of the Law, & Staff & Training worksheet. • We discusses that the EPR plan must be reviewed annually with your staff and the 1st page printed off with the date of going into the portal on that 1st page of the EPR. You are to make any changes necessary and review with your staff. If no changes are made you are to still review with your staff annually. If not reviewed annually, you will be locked out of the portal and you will need to email me for further directions on accessing the EPR portal. • We discussed a PVC pipe with an opening at the top of the pipe, on the back playground to the right side at the corner of where the building and the fence come together. At the completion of the visit, this visit summary was reviewed with you and provided for you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0803 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 25 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 196 Time In: 09:59 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Debbie Crouse, Director. Your program currently operates with a FIVE (5) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/26/24 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch and nap time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The children are learning about Artic animals. The last annual compliance visit was conducted on 2/22/23. A sanitation inspection was completed 12/12/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 1/27/23 and a copy was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/12/24 at 9:34 am with one (1) minute and fifty-nine (59) seconds to evacuate eighteen (18) children and seven (7) adults by D. Crouse. A lockdown drill was documented on 11/29/23 at 2:58 pm with one (1) minute, nineteen (19) seconds to lockdown by D. Crouse. An outdoor inspection was documented on 1/22/24 with two (2) issues noted on the playground inspection checklist by D. Crouse. I recommend that you continue to note on the inspection checklist where the issue occurred and on which playground. Staff files and children’s records were monitored per DCDEE procedures. I monitored one (1) new staff member, two (2) board members, and the director file today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications other than the over-the-counter diaper creams and ointments monitored today. There was one (1) staff allergy to tree nuts and peanuts reported today. Documentation of this allergy is noted in all classrooms throughout the center. This program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There ia a PVC pipe with an opening at the top where children could possible get their foot or leg caught. The pipe is located on the back playground to the right where the corner of the building and the fence come together. 10A NCAC 09 .0601(a) 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. A Child in Space 4 had an over the counter Desitin Cream to adminiter but there was no permission to adminiter form filled out by the parent. Ms. Crouse, director contacted the parent during the visit today, scanned her the permission to adminiter form. The parent completed and scanned the form back to the center during my visit today. Ms. Crouse took the form down to the classroom to file during my visit. This violation was corrected during the visit today. 10A NCAC 09 .0803(9)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, February 12, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All medication must have parental permission documented on the DCDEE Permission to Administer Medication form found on our website, under Provider>forms and documents>Permission to Administer Medication. Refer to Child Care Rule 10A NCAC 09.0803(d)(a-d). * The hole in the top of the pipe is a hazard to children as they could get theri foot or leg caught. Refer to child care Rule 10A NCAC 09.0601 for safe environments. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 1 for license reassessment which means your prep year will be 7/1/23- 6/30/24 and your license reassessment year will be 7/1/24-6/30/25. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • Make sure all staff education has been submitted into DCDEE WORKS for evaluation. Directions for submitting are on the DCDEE website. • Request mock assessments be conducted by your local Partnership. • There is a new Summary of the Law poster and a new Staff & Training worksheet on our website under Provider>forms and documents> summary of the Law, & Staff & Training worksheet. • We discusses that the EPR plan must be reviewed annually with your staff and the 1st page printed off with the date of going into the portal on that 1st page of the EPR. You are to make any changes necessary and review with your staff. If no changes are made you are to still review with your staff annually. If not reviewed annually, you will be locked out of the portal and you will need to email me for further directions on accessing the EPR portal. • We discussed a PVC pipe with an opening at the top of the pipe, on the back playground to the right side at the corner of where the building and the fence come together. At the completion of the visit, this visit summary was reviewed with you and provided for you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BLUE RIDGE DEVELOPMENTAL DAY Facility ID: 03000062 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/29/2024 Number Present: 25 Completed Date: 1/29/2024 Age: From 0 To 4 Total Minutes: 196 Time In: 09:59 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Debbie Crouse, Director. Your program currently operates with a FIVE (5) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios minus one; meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/26/24 and Blue Ridge Developmental Day, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch and nap time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The children are learning about Artic animals. The last annual compliance visit was conducted on 2/22/23. A sanitation inspection was completed 12/12/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 1/27/23 and a copy was received today during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/12/24 at 9:34 am with one (1) minute and fifty-nine (59) seconds to evacuate eighteen (18) children and seven (7) adults by D. Crouse. A lockdown drill was documented on 11/29/23 at 2:58 pm with one (1) minute, nineteen (19) seconds to lockdown by D. Crouse. An outdoor inspection was documented on 1/22/24 with two (2) issues noted on the playground inspection checklist by D. Crouse. I recommend that you continue to note on the inspection checklist where the issue occurred and on which playground. Staff files and children’s records were monitored per DCDEE procedures. I monitored one (1) new staff member, two (2) board members, and the director file today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications other than the over-the-counter diaper creams and ointments monitored today. There was one (1) staff allergy to tree nuts and peanuts reported today. Documentation of this allergy is noted in all classrooms throughout the center. This program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There ia a PVC pipe with an opening at the top where children could possible get their foot or leg caught. The pipe is located on the back playground to the right where the corner of the building and the fence come together. 10A NCAC 09 .0601(a) 865 A child was given over the counter medication without written authorization from a parent to follow the direction of the NC State Health Director during a public health emergency and/or the authorization did not contain the required information. A Child in Space 4 had an over the counter Desitin Cream to adminiter but there was no permission to adminiter form filled out by the parent. Ms. Crouse, director contacted the parent during the visit today, scanned her the permission to adminiter form. The parent completed and scanned the form back to the center during my visit today. Ms. Crouse took the form down to the classroom to file during my visit. This violation was corrected during the visit today. 10A NCAC 09 .0803(9)(a-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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Monday, February 12, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • All medication must have parental permission documented on the DCDEE Permission to Administer Medication form found on our website, under Provider>forms and documents>Permission to Administer Medication. Refer to Child Care Rule 10A NCAC 09.0803(d)(a-d). * The hole in the top of the pipe is a hazard to children as they could get theri foot or leg caught. Refer to child care Rule 10A NCAC 09.0601 for safe environments. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 1 for license reassessment which means your prep year will be 7/1/23- 6/30/24 and your license reassessment year will be 7/1/24-6/30/25. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • Make sure all staff education has been submitted into DCDEE WORKS for evaluation. Directions for submitting are on the DCDEE website. • Request mock assessments be conducted by your local Partnership. • There is a new Summary of the Law poster and a new Staff & Training worksheet on our website under Provider>forms and documents> summary of the Law, & Staff & Training worksheet. • We discusses that the EPR plan must be reviewed annually with your staff and the 1st page printed off with the date of going into the portal on that 1st page of the EPR. You are to make any changes necessary and review with your staff. If no changes are made you are to still review with your staff annually. If not reviewed annually, you will be locked out of the portal and you will need to email me for further directions on accessing the EPR portal. • We discussed a PVC pipe with an opening at the top of the pipe, on the back playground to the right side at the corner of where the building and the fence come together. At the completion of the visit, this visit summary was reviewed with you and provided for you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times