10A NCAC 09 .0302 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 17 Completed Date: 11/19/2025 Age: From 3 To 5 Total Minutes: 255 Time In: 10:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by, Elizabeth Hughes, lead teacher, during the visit. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent as of 11/17/25. This facility is an NC pre-k classroom with some private pay slots. The facility is owned and operated by Mitchell County Schools and is housed in Greenlee Primary School. Permit type – Five-star license issue on April 12, 2024. Special Services/Restrictions – NCPK approved, approved for transportation, daytime care only, meets reduced ratios and enhanced space. The last annual compliance visit was conducted on 12/17/24. The last fire drill was practiced on 10/30/25. A lock down drill was conducted on 9/30/25. The last playground inspection was documented on 10/30/25. The last fire inspection was approved on 5/12/25. The last sanitation inspection was conducted on 2/4/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing has not been completed. Lead paint testing and asbestos testing have not been completed. Upon arrival, I checked in at the front office. I walked to the classroom; the children and teachers were on their way outside to play on the playground. I greeted the teachers and explained the reason for today’s visit. I walked around the outdoor area while observing the children playing and teachers interacting. The teachers had the children line up to go inside to wash hands for lunch. The group of children walked down the hallway to the cafeteria. The children go through the lunch line to get their lunch. Four (4) children packed their lunch. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. Children sat at child sized tables and chairs while the teachers assisted them in opening their milk. After lunch, children walked back to the classroom, used the restroom, washed hands and went to group for story time. Children and teachers put out cots and prepared for rest time. Teachers rubbed backs and assisted children to calm their bodies for rest time while soft music played. During rest time today, a child that wasn’t sleeping found a small pom-pom that had been used in the science center for a butterfly activity. The child stuck the pom-pom up his nose and had to go to the nurse to see if she could get it out. The child may have to be taken to the doctor if she can’t remove it. Lunch today consisted of turkey with gravy, a choice of mashed potatoes or green beans, roll, cooked apples with cinnamon and oats, and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. It was completed on 10/23/25. Two (2) children’s files were monitored today. The classroom operates from 7:10 a.m. to 2:10 p.m. Monday through Friday. This facility is now operating with one NC pre-k classroom instead of two. The lead teacher of the classroom that moved usually filled out the staff and training worksheet, so Ms. Hughes dis not have it filled out. During this visit, we discussed that since this is not filled out, a return visit will need to be made to monitor staff files. The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. There were at least four separate days where children were not signed out with a departure time. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway to enter the lunch line. .1801(a)(1-5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. .2820(b) 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 training should be completed in order to compile the roster needed for this rule. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #840 Sanitation rule 2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. *Hand sanitizers are out in the children’s bathroom, on teachers’ desk and on the cubbies. We discussed that this can be out, but has to be stored five (5) feet up which is considered inaccessible to children. *There is a small table in the cafeteria with cleaners on it that the children walk past. These cleaners are accessible to children. Item #125 Daily records of arrival and departure times at the center for each child should be maintained as children arrive and depart. *On 11/17 & 11/18 one child was not signed out with a departure time. On 11/12 five children were not signed out with a departure time. And on 11/7 three children were not signed out with a departure time. We discussed reminding parents to about sign in/out. Teachers need to check behind parents to make sure they are signed out and if not, they need to do it for them. Item #303 Children were not adequately supervised at all times. * The teacher at the end of the line went into the cafeteria through a different door leaving four (4) children alone in the hallway to continue down the hallway and entered the lunch line. *We discussed how everyone should enter the same door with one teacher in the front of the line and one at the end. This will assure that all children are supervised at all times. Item #1805 A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days. *The ABCMS training should be completed in order to compile the roster needed for this rule. We discussed the reminder that was discusses at our last visit as well as the email that we sent out with specific directions along with contact information for people that can assist if she is having issues with her NCID. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. 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. 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 in 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 (919) 814-6401 and someone will assist you. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. Achieving Compliance: A follow-up visit will be conducted to verify compliance of Item #303 Supervision. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by December 3, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the new QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • We discussed Outreach Assessment to learn more about the strengths and challenges the program currently faces. These results can be used for the self-study if you choose to go that route.. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 24 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Buchanan and Elizabeth Hughes, lead teachers. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office of the school. When I entered the classrooms, I greeted the teachers and let them know the purpose of today’s visit. Both classrooms were outside on the playground. Children were planting flowers in individual pots for Mother’s Day, digging in dirt, water play, climbing, running around and tumbling. Teachers were engaged and walking about the whole playground for supervision. Children came inside to wash hands for lunch. Classroom #1 walked to the cafeteria for lunch while classroom #2 that I was with were finishing handwashing. Before leaving for lunch, an announcement was made for a soft lock down that was not a drill. Children were directed to the large rug where one teacher read to the children and the other teacher closed blinds and locked the doors. A hard lock down was announced so the children were directed into a closet. The teachers read a story to the children, made shadows on the door all while trying to stay in contact with the other teacher as well as office staff. Once the lock down was over, administrator/principal, Ms. Snyder came to open the door for the all clear. The children and teacher did an amazing job during this event. Classroom #1 did their lockdown in the cafeteria, which was new to them and the cafeteria staff assisted them. Classroom #1 returned to transition to rest time and classroom #2 ate lunch and then returned to the classroom to transition to rest time. Lunch today consisted of chicken ACP over rice, corn, strawberries and milk. This facility is owned and operated by the Mitchell County Schools and housed in Greenlee Primary School. There were no new teachers at this facility. There are fifteen (15) children enrolled in space #1 and thirteen (13) children enrolled in space #2. There are thirteen (13) children present today in space #1 and eleven (11) children present in #2 today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/17/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/12/24. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 4/8/25. A shelter in place drill was conducted on 4/30/25 and a lock down was conducted during today’s visit. The last fire inspection was 4/11/24. The last sanitation inspection was completed on 2/4/25 with nine (9) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing has not been completed. Lead paint and asbestos testing has not been completed. There were no violations documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was 4/11/24, which is almost a month past due. 10A NCAC 09 .0304(a) Technical Assistance given: *A fire inspection is due annually. Perhaps setting a reminder in your phone or on your calendar will help remind you of when to make the request for them to come out. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 22, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 24 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Buchanan and Elizabeth Hughes, lead teachers. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office of the school. When I entered the classrooms, I greeted the teachers and let them know the purpose of today’s visit. Both classrooms were outside on the playground. Children were planting flowers in individual pots for Mother’s Day, digging in dirt, water play, climbing, running around and tumbling. Teachers were engaged and walking about the whole playground for supervision. Children came inside to wash hands for lunch. Classroom #1 walked to the cafeteria for lunch while classroom #2 that I was with were finishing handwashing. Before leaving for lunch, an announcement was made for a soft lock down that was not a drill. Children were directed to the large rug where one teacher read to the children and the other teacher closed blinds and locked the doors. A hard lock down was announced so the children were directed into a closet. The teachers read a story to the children, made shadows on the door all while trying to stay in contact with the other teacher as well as office staff. Once the lock down was over, administrator/principal, Ms. Snyder came to open the door for the all clear. The children and teacher did an amazing job during this event. Classroom #1 did their lockdown in the cafeteria, which was new to them and the cafeteria staff assisted them. Classroom #1 returned to transition to rest time and classroom #2 ate lunch and then returned to the classroom to transition to rest time. Lunch today consisted of chicken ACP over rice, corn, strawberries and milk. This facility is owned and operated by the Mitchell County Schools and housed in Greenlee Primary School. There were no new teachers at this facility. There are fifteen (15) children enrolled in space #1 and thirteen (13) children enrolled in space #2. There are thirteen (13) children present today in space #1 and eleven (11) children present in #2 today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/17/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/12/24. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 4/8/25. A shelter in place drill was conducted on 4/30/25 and a lock down was conducted during today’s visit. The last fire inspection was 4/11/24. The last sanitation inspection was completed on 2/4/25 with nine (9) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing has not been completed. Lead paint and asbestos testing has not been completed. There were no violations documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was 4/11/24, which is almost a month past due. 10A NCAC 09 .0304(a) Technical Assistance given: *A fire inspection is due annually. Perhaps setting a reminder in your phone or on your calendar will help remind you of when to make the request for them to come out. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 22, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 24 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Buchanan and Elizabeth Hughes, lead teachers. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office of the school. When I entered the classrooms, I greeted the teachers and let them know the purpose of today’s visit. Both classrooms were outside on the playground. Children were planting flowers in individual pots for Mother’s Day, digging in dirt, water play, climbing, running around and tumbling. Teachers were engaged and walking about the whole playground for supervision. Children came inside to wash hands for lunch. Classroom #1 walked to the cafeteria for lunch while classroom #2 that I was with were finishing handwashing. Before leaving for lunch, an announcement was made for a soft lock down that was not a drill. Children were directed to the large rug where one teacher read to the children and the other teacher closed blinds and locked the doors. A hard lock down was announced so the children were directed into a closet. The teachers read a story to the children, made shadows on the door all while trying to stay in contact with the other teacher as well as office staff. Once the lock down was over, administrator/principal, Ms. Snyder came to open the door for the all clear. The children and teacher did an amazing job during this event. Classroom #1 did their lockdown in the cafeteria, which was new to them and the cafeteria staff assisted them. Classroom #1 returned to transition to rest time and classroom #2 ate lunch and then returned to the classroom to transition to rest time. Lunch today consisted of chicken ACP over rice, corn, strawberries and milk. This facility is owned and operated by the Mitchell County Schools and housed in Greenlee Primary School. There were no new teachers at this facility. There are fifteen (15) children enrolled in space #1 and thirteen (13) children enrolled in space #2. There are thirteen (13) children present today in space #1 and eleven (11) children present in #2 today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/17/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/12/24. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 4/8/25. A shelter in place drill was conducted on 4/30/25 and a lock down was conducted during today’s visit. The last fire inspection was 4/11/24. The last sanitation inspection was completed on 2/4/25 with nine (9) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing has not been completed. Lead paint and asbestos testing has not been completed. There were no violations documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was 4/11/24, which is almost a month past due. 10A NCAC 09 .0304(a) Technical Assistance given: *A fire inspection is due annually. Perhaps setting a reminder in your phone or on your calendar will help remind you of when to make the request for them to come out. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 22, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 24 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Buchanan and Elizabeth Hughes, lead teachers. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office of the school. When I entered the classrooms, I greeted the teachers and let them know the purpose of today’s visit. Both classrooms were outside on the playground. Children were planting flowers in individual pots for Mother’s Day, digging in dirt, water play, climbing, running around and tumbling. Teachers were engaged and walking about the whole playground for supervision. Children came inside to wash hands for lunch. Classroom #1 walked to the cafeteria for lunch while classroom #2 that I was with were finishing handwashing. Before leaving for lunch, an announcement was made for a soft lock down that was not a drill. Children were directed to the large rug where one teacher read to the children and the other teacher closed blinds and locked the doors. A hard lock down was announced so the children were directed into a closet. The teachers read a story to the children, made shadows on the door all while trying to stay in contact with the other teacher as well as office staff. Once the lock down was over, administrator/principal, Ms. Snyder came to open the door for the all clear. The children and teacher did an amazing job during this event. Classroom #1 did their lockdown in the cafeteria, which was new to them and the cafeteria staff assisted them. Classroom #1 returned to transition to rest time and classroom #2 ate lunch and then returned to the classroom to transition to rest time. Lunch today consisted of chicken ACP over rice, corn, strawberries and milk. This facility is owned and operated by the Mitchell County Schools and housed in Greenlee Primary School. There were no new teachers at this facility. There are fifteen (15) children enrolled in space #1 and thirteen (13) children enrolled in space #2. There are thirteen (13) children present today in space #1 and eleven (11) children present in #2 today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/17/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/12/24. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 4/8/25. A shelter in place drill was conducted on 4/30/25 and a lock down was conducted during today’s visit. The last fire inspection was 4/11/24. The last sanitation inspection was completed on 2/4/25 with nine (9) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing has not been completed. Lead paint and asbestos testing has not been completed. There were no violations documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was 4/11/24, which is almost a month past due. 10A NCAC 09 .0304(a) Technical Assistance given: *A fire inspection is due annually. Perhaps setting a reminder in your phone or on your calendar will help remind you of when to make the request for them to come out. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 22, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 24 Completed Date: 5/8/2025 Age: From 3 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Buchanan and Elizabeth Hughes, lead teachers. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office of the school. When I entered the classrooms, I greeted the teachers and let them know the purpose of today’s visit. Both classrooms were outside on the playground. Children were planting flowers in individual pots for Mother’s Day, digging in dirt, water play, climbing, running around and tumbling. Teachers were engaged and walking about the whole playground for supervision. Children came inside to wash hands for lunch. Classroom #1 walked to the cafeteria for lunch while classroom #2 that I was with were finishing handwashing. Before leaving for lunch, an announcement was made for a soft lock down that was not a drill. Children were directed to the large rug where one teacher read to the children and the other teacher closed blinds and locked the doors. A hard lock down was announced so the children were directed into a closet. The teachers read a story to the children, made shadows on the door all while trying to stay in contact with the other teacher as well as office staff. Once the lock down was over, administrator/principal, Ms. Snyder came to open the door for the all clear. The children and teacher did an amazing job during this event. Classroom #1 did their lockdown in the cafeteria, which was new to them and the cafeteria staff assisted them. Classroom #1 returned to transition to rest time and classroom #2 ate lunch and then returned to the classroom to transition to rest time. Lunch today consisted of chicken ACP over rice, corn, strawberries and milk. This facility is owned and operated by the Mitchell County Schools and housed in Greenlee Primary School. There were no new teachers at this facility. There are fifteen (15) children enrolled in space #1 and thirteen (13) children enrolled in space #2. There are thirteen (13) children present today in space #1 and eleven (11) children present in #2 today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 12/17/24. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 4/12/24. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 4/8/25. A shelter in place drill was conducted on 4/30/25 and a lock down was conducted during today’s visit. The last fire inspection was 4/11/24. The last sanitation inspection was completed on 2/4/25 with nine (9) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing has not been completed. Lead paint and asbestos testing has not been completed. There were no violations documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was 4/11/24, which is almost a month past due. 10A NCAC 09 .0304(a) Technical Assistance given: *A fire inspection is due annually. Perhaps setting a reminder in your phone or on your calendar will help remind you of when to make the request for them to come out. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by May 22, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/17/2024 Number Present: 22 Completed Date: 12/17/2024 Age: From 3 To 5 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and signed by Rebecca Buchanan, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Buchanan and Ms. Hughes, lead teachers were both available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. This visit is delayed due to Tropical Storm Helene and the closure of schools from 9/26/24 to 11/7/24. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 12/16/24. This facility is owned by Mitchell County Schools and is housed in Greenlee Primary School. Both classrooms at this facility are NC-Pre-K classrooms. Permit type – Five-star license issued April 12, 2024. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last visit was a temporary time period visit that was conducted on 3/12/24. The last fire drill was practiced on 11/26/24. However, a fire drill did not occur in September (October the facility was closed due to Tropical Storm Helene). The last lock down drill was practiced on 11/20/24. The last playground inspection was documented on 11/30/24. The last fire inspection was approved on 4/11/24. The last sanitation inspection was conducted on 5/9/24 with two (2) demerits for a superior classification. This facility follows the Emergency Response Plan for Mitchell County Schools. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and was escorted down to the classrooms. This facility has two NC Pre-K classrooms and they share a playground. When I arrived, the children were outside on the playground. After coming inside the children and teachers washed their hands and lined up for lunch. They eat meals in the cafeteria. The cafeteria staff clean and sanitize the tables prior to the children’s arrival. Lunch today consisted of corndog nuggets, a choice of sweet potato tots, pinto beans or corn, fruit cocktail and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. Supervision was adequate during the visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were four children files were monitored today. The classroom operates from 7:05 a.m. to 2:05 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted in September. .0604(t); .0302(d)(5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An epi pen did not have the parent signature to administrator. 10A NCAC 09 .0803(1)(a & b) 1041 Prior to employment a Criminal Background Check was not completed. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) 1303 Application was not signed by the parent. A parent had not signed the application. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. A parent did not sign the application giving permission for emergency medical care. .0802(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child did not have immunizations on file. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1041 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. *The three bus drivers and the administrator (principal) did not have a criminal record check prior to employment. Item #.1323 10A NCC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER d. During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (2) children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care; *One child did not have immunizations on file. Item #.1317 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE d. Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. *A parent did not sign the application giving permission for emergency medical care. Item .#1303 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT a. Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. *A parent had not signed the application. Item#.805 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS t. Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5) *A fire drill was not conducted in September. Item #.842 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: c. shall be administered only to the child for whom they were prescribed; and *An epi pen did not have the parent signature to administrator. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before December 31, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes therapist and bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. This also goes for having first aid and CPR. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • The summary of the law that is posted needs to be updated to the current version. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. • We discussed that opt out forms are all or nothing and children must have a liquid form of milk with lunch. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2802 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2809 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2817 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 25 Completed Date: 3/12/2024 Age: From 4 To 5 Total Minutes: 155 Time In: 09:55 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit conducted at this program was to monitor child care requirements and review the Environmental Rating Scales (ERS) assessment scores. A computerized generated report of today’s visit was completed and reviewed with you. The visit summary was printed, signed, and provided to you. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/21/24. The last shelter-in-place drill and lockdown drill has were practiced on 1/11/24. The last monthly playground inspection was documented on 2/7/24. The pre-licensing sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. Contact Mitchell County Environmental Health be sure they are aware you need a sanitation inspection while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix during the visit on 1/23/24 and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. The forms were not available for review today during the visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The children were observed during outdoor play, routine care, lunch, and rest. The lunch today was cheese stuffed breadsticks, choice of broccoli or carrots, pears, and milk as listed on the menu. Limited monitoring of staff files occurred. All ERS items scoring below five (5) points were discussed using the ERS Assessment Facility Summary Report. Consultation was provided for all ERS items scoring below three (3) points. Programs with less than a three-star license will not be able to receive subsidy funding. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #2 was dated 3/4/24 through 3/8/24. GS 110-91(12); .0508(a) 1043 All staff records, except financial records, were not made available for review. The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. G.S. 110-91( 9) 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. The staff member hired on 10/31/23 did not have verification of completing First Aid training within 90 days of employment. Refer to the staff and training worksheet. .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. The staff member hired on 10/31/23 did not have verification of completing CPR training within 90 days of employment. Refer to the staff and training worksheet. .1102(d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Some medical documents for staff were stored in their personnel binder along with all other personnel documents. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two (2) staff members hired on 10/31/23 did not complete the training within 90 days of employment. Refer to the staff and training worksheet. .1102(g) Technical Assistance for Correction Plan Items #1048 and #1049 W. Peterson must complete age appropriate CPR and First Aid training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1897 D. Beam and W. Peterson must complete Recognizing and Responding to Suspicions of Maltreatment training through the Prevent Child Abuse NC website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #428 – The activity plan in space #2 was dated 3/4/24 through 3/8/24. Activity plans must be current. We discussed to have the activity plan completed and posted by the end of the operating date on Fridays. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1043 – The following staff records for the two (2) bus drivers were not available for review through the staff and training worksheet or records on-site at the facility – staff medical report, TB test or TB screening, emergency information form, CPR and First Aid training certificates or cards, Recognizing and Responding to Suspicions of Child Maltreatment Training, Prevention of Shaken Baby and Abusive Head Trauma Policy acknowledgement form, and signed and dated statement that the staff reviewed the operational and personnel policies. We discussed that the bus drivers are listed on the off-site record verification form and are required to have training certificates and emergency information on-site or on the bus. A staff and training worksheet along with identified dates along with training certificates and emergency information is required to verify compliance. Additional violations may be cited once the information for the bus drivers is provided. § 110-91. Mandatory standards for a license. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Item #1890 – Some medical documents for staff were stored in their personnel binder along with all other personnel documents. We discussed a separate area is required to store personnel medical records separately from all other personnel records. This can be done by having a separate binder or folder. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/20/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 91%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Education points are currently being evaluated. Program Standards: Program Standards: The ECERS-R ERS assessment was conducted on 2/28/24 with a score of 6.16 points. The overall average classroom score (based on 1 assessment) is 6.16. The lowest classroom score is 5.0. The next ERS assessment will be due in February 2027. Refer to the chart in child care rule 10A NCAC 09 .2817. The program meets enhanced space and highest voluntary enhanced (reduced) ratios. Program standards = 7 points 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (c) To earn seven points for program standards, the center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/4 8 1 to 2 Years 1/5 10 2 to 3 Years 1/8 16 3 to 4 Years 1/9 18 4 to 5 Years 1/12 24 5 to 6 Years 1/14 25 6 Years and Older 1/19 25 NC Pre-K requires a staff/child ratio of 1:9. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. Quality Point: A quality point is met by having 75% of lead teachers with a 4 year degree in early childhood education/child development. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. After final review, points under each component may change. Rated License Consultation and Review of Environment Rating Scale assessment report: Item #8 scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “On days when children go outdoors, gross motor equipment is provided for enough time. The teacher reported that when children do not go outdoors they use a tunnel in the classroom for 30-45 minutes. She also stated that they will dance during this time; however, dancing does not involve gross motor equipment and such equipment was not observed in the classroom. Therefore, children could use the required amount of gross motor equipment for 30-45 minutes on days when outdoor play does not occur, rather than at least 50 minutes for a program operating 7 hours 25 minutes (7:05 a.m.-2:30 p.m.).” **While a gross motor activity such as dancing meets licensing requirements, it is best practice to allow for gross motor equipment indoors for a higher quality environment. Item # scored two (2) points. Indicator 3.1 was not met. Observation notes from the North Carolina Rated License Assessment Project (NCRLAP): “The sinks in the bathroom were used by the children to wash their hands after children toileted, after outdoor play and before and after meals. The sinks were sprayed with a solution from a bottle labeled sanitizer several times throughout the morning following toileting routines, but they were not sprayed with a disinfectant as required.” **This is a potential violation. Sinks are required to be cleaned and disinfected with disinfectant. During the visit today, disinfectant spray was observed being during the cleaning of sinks. 15A NCAC 18A .2818 LAVATORIES (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent. Change of use includes, but is not limited to, a classroom handwash lavatory used for rinsing toothbrushes, a food preparation handwash lavatory used for toy cleaning, or a classroom handwash lavatory used for diaper changing handwashing. The centers rated license assessment is due once every three yars based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Reminder that staff are due to complete health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. We discussed the annual fire inspection is due in September 2024. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Lee Marshall will be assigned as your child care consultant once the rated license is issued. You may reach Ms. Marshall at lee.marshall@dhhs.nc.gov or 828-434-0236. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 24 Completed Date: 1/23/2024 Age: From 4 To 5 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Anthea Biddix, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Anthea Biddix, Preschool Coordinator for Mitchell County Schools, Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. The facility opened at 10am due to inclement weather and road conditions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 12/20/23. A shelter-in-place drill and lockdown drill were practiced on 1/12/24/24. The last monthly playground inspection was documented on 12/8/23. The last sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care (EMC) plan was posted and current. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix today during the visit and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix today and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The ASTM certification for the outdoor climbing structure has been completed for the pour and play surfacing and is on file as required. The children were observed in large group activities, routine care, free play, and resting. Three (3) NC Pre-K children files were monitored. There are seven (7) staff. Four (4) staff files were monitored. The public school off-site records verification for staff records forms must be available for review during any licensing visit and was/was not available for review today. Children’s records are located on-site. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were received via email from Ms. Gregory on 1/9/24 and 1/4/24 respectively. Continue visiting the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, to learn more about the assessment process and the many resources to prepare for the Environment Rating Scale (ERS) assessment. Also continue working with MaryLee Yearick with the local child care resource and referral agency to prepare for the ERS assessment. Ms. Gregory has elected to have ERS assessment for the opportunity to transition to a rated license. Programs with less than a three-star license will not be able to receive subsidy funding. The facility is currently serving children on subsidy vouchers. To meet facility requirements for the NC Pre-K program, the facility must have the Environment Rating Scale (ERS) assessment, score a 5.0 on the ECERS-R assessment, and achieve a four-or-five star rated license. The temporary license is effective through 4/12/24. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The staff/child ratio chart in space #153 was not documented to specify what staff/child ratio and group sizes were applicable to the classroom. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An instant cold compress with multiple warnings was stored at or above five feet in the bathroom instead of being locked. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver, W.P., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had background check completed on 11/21/23. One (1) bus driver, D.B., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had a background check completed on 1/11/24. G.S. 110-90.2(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) bus driver staff that are left alone with children and count in staff/child ratio did not have an acknowledgement on file. .0608(d)(1-4) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. There are two (2) bus drivers that are left alone with children riding the bus and count in staff/child ratio while driving the bus. The two (2) bus drivers have not successfully completed CPR and First Aid training. .1102(c-d) Technical assistance for correction plan: Criminal Background Check *A plan must be put in place to state how any future staff that are left alone with children will have a background check prior to employment. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. CPR and First Aid Training *The two (2) bus driver staff must take CPR and First Aid training through an approved agency and an approved course. While waiting to take CPR and First Aid, other qualified staff that have CPR and First Aid training may count in staff/child ratio on the bus. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Prevention of Shaken Baby and Abusive Head Trauma Policy *The two (2) bus drivers must review the policy and have an acknowledgement on file as outlined in the child care rule below. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Storage of Products with Multiple Warnings - Corrected During the Visit *The instant cold compress was taken out of the bathroom and locked during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Staff/Child Ratios Chart – Corrected During the Visit *The staff/child ratios chart must specify which staff/child ratios are applicable to the classroom. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was 94% prior to today’s visit. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24 or it may result in one (1) point in staff education points. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. For assistance with individual WORKS accounts, contact WORKS for assistance - https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS/Contact-WORKS-Customer-Service Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form have been submitted and the ERS assessment was ordered on 1/9/24. The scheduled ERS assessment window starts on 2/12/24. Quality Point: A quality point has not been determined. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Consultation: We discussed the requirements for bus drivers left alone with children and counted in staff/child ratio while driving the bus. The staff and training worksheet will need to be filled out in its entirety for what is applicable to the bus drivers. Legal designee information forms have been provided for Jason Hall, Administrator/Principal, Anthea Biddix, Preschool Director, and the Lead Teacher positions. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 24 Completed Date: 1/23/2024 Age: From 4 To 5 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Anthea Biddix, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Anthea Biddix, Preschool Coordinator for Mitchell County Schools, Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. The facility opened at 10am due to inclement weather and road conditions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 12/20/23. A shelter-in-place drill and lockdown drill were practiced on 1/12/24/24. The last monthly playground inspection was documented on 12/8/23. The last sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care (EMC) plan was posted and current. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix today during the visit and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix today and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The ASTM certification for the outdoor climbing structure has been completed for the pour and play surfacing and is on file as required. The children were observed in large group activities, routine care, free play, and resting. Three (3) NC Pre-K children files were monitored. There are seven (7) staff. Four (4) staff files were monitored. The public school off-site records verification for staff records forms must be available for review during any licensing visit and was/was not available for review today. Children’s records are located on-site. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were received via email from Ms. Gregory on 1/9/24 and 1/4/24 respectively. Continue visiting the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, to learn more about the assessment process and the many resources to prepare for the Environment Rating Scale (ERS) assessment. Also continue working with MaryLee Yearick with the local child care resource and referral agency to prepare for the ERS assessment. Ms. Gregory has elected to have ERS assessment for the opportunity to transition to a rated license. Programs with less than a three-star license will not be able to receive subsidy funding. The facility is currently serving children on subsidy vouchers. To meet facility requirements for the NC Pre-K program, the facility must have the Environment Rating Scale (ERS) assessment, score a 5.0 on the ECERS-R assessment, and achieve a four-or-five star rated license. The temporary license is effective through 4/12/24. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The staff/child ratio chart in space #153 was not documented to specify what staff/child ratio and group sizes were applicable to the classroom. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An instant cold compress with multiple warnings was stored at or above five feet in the bathroom instead of being locked. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver, W.P., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had background check completed on 11/21/23. One (1) bus driver, D.B., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had a background check completed on 1/11/24. G.S. 110-90.2(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) bus driver staff that are left alone with children and count in staff/child ratio did not have an acknowledgement on file. .0608(d)(1-4) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. There are two (2) bus drivers that are left alone with children riding the bus and count in staff/child ratio while driving the bus. The two (2) bus drivers have not successfully completed CPR and First Aid training. .1102(c-d) Technical assistance for correction plan: Criminal Background Check *A plan must be put in place to state how any future staff that are left alone with children will have a background check prior to employment. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. CPR and First Aid Training *The two (2) bus driver staff must take CPR and First Aid training through an approved agency and an approved course. While waiting to take CPR and First Aid, other qualified staff that have CPR and First Aid training may count in staff/child ratio on the bus. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Prevention of Shaken Baby and Abusive Head Trauma Policy *The two (2) bus drivers must review the policy and have an acknowledgement on file as outlined in the child care rule below. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Storage of Products with Multiple Warnings - Corrected During the Visit *The instant cold compress was taken out of the bathroom and locked during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Staff/Child Ratios Chart – Corrected During the Visit *The staff/child ratios chart must specify which staff/child ratios are applicable to the classroom. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was 94% prior to today’s visit. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24 or it may result in one (1) point in staff education points. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. For assistance with individual WORKS accounts, contact WORKS for assistance - https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS/Contact-WORKS-Customer-Service Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form have been submitted and the ERS assessment was ordered on 1/9/24. The scheduled ERS assessment window starts on 2/12/24. Quality Point: A quality point has not been determined. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Consultation: We discussed the requirements for bus drivers left alone with children and counted in staff/child ratio while driving the bus. The staff and training worksheet will need to be filled out in its entirety for what is applicable to the bus drivers. Legal designee information forms have been provided for Jason Hall, Administrator/Principal, Anthea Biddix, Preschool Director, and the Lead Teacher positions. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 24 Completed Date: 1/23/2024 Age: From 4 To 5 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Anthea Biddix, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Anthea Biddix, Preschool Coordinator for Mitchell County Schools, Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. The facility opened at 10am due to inclement weather and road conditions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 12/20/23. A shelter-in-place drill and lockdown drill were practiced on 1/12/24/24. The last monthly playground inspection was documented on 12/8/23. The last sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care (EMC) plan was posted and current. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix today during the visit and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix today and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The ASTM certification for the outdoor climbing structure has been completed for the pour and play surfacing and is on file as required. The children were observed in large group activities, routine care, free play, and resting. Three (3) NC Pre-K children files were monitored. There are seven (7) staff. Four (4) staff files were monitored. The public school off-site records verification for staff records forms must be available for review during any licensing visit and was/was not available for review today. Children’s records are located on-site. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were received via email from Ms. Gregory on 1/9/24 and 1/4/24 respectively. Continue visiting the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, to learn more about the assessment process and the many resources to prepare for the Environment Rating Scale (ERS) assessment. Also continue working with MaryLee Yearick with the local child care resource and referral agency to prepare for the ERS assessment. Ms. Gregory has elected to have ERS assessment for the opportunity to transition to a rated license. Programs with less than a three-star license will not be able to receive subsidy funding. The facility is currently serving children on subsidy vouchers. To meet facility requirements for the NC Pre-K program, the facility must have the Environment Rating Scale (ERS) assessment, score a 5.0 on the ECERS-R assessment, and achieve a four-or-five star rated license. The temporary license is effective through 4/12/24. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The staff/child ratio chart in space #153 was not documented to specify what staff/child ratio and group sizes were applicable to the classroom. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An instant cold compress with multiple warnings was stored at or above five feet in the bathroom instead of being locked. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver, W.P., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had background check completed on 11/21/23. One (1) bus driver, D.B., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had a background check completed on 1/11/24. G.S. 110-90.2(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) bus driver staff that are left alone with children and count in staff/child ratio did not have an acknowledgement on file. .0608(d)(1-4) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. There are two (2) bus drivers that are left alone with children riding the bus and count in staff/child ratio while driving the bus. The two (2) bus drivers have not successfully completed CPR and First Aid training. .1102(c-d) Technical assistance for correction plan: Criminal Background Check *A plan must be put in place to state how any future staff that are left alone with children will have a background check prior to employment. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. CPR and First Aid Training *The two (2) bus driver staff must take CPR and First Aid training through an approved agency and an approved course. While waiting to take CPR and First Aid, other qualified staff that have CPR and First Aid training may count in staff/child ratio on the bus. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Prevention of Shaken Baby and Abusive Head Trauma Policy *The two (2) bus drivers must review the policy and have an acknowledgement on file as outlined in the child care rule below. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Storage of Products with Multiple Warnings - Corrected During the Visit *The instant cold compress was taken out of the bathroom and locked during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Staff/Child Ratios Chart – Corrected During the Visit *The staff/child ratios chart must specify which staff/child ratios are applicable to the classroom. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was 94% prior to today’s visit. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24 or it may result in one (1) point in staff education points. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. For assistance with individual WORKS accounts, contact WORKS for assistance - https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS/Contact-WORKS-Customer-Service Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form have been submitted and the ERS assessment was ordered on 1/9/24. The scheduled ERS assessment window starts on 2/12/24. Quality Point: A quality point has not been determined. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Consultation: We discussed the requirements for bus drivers left alone with children and counted in staff/child ratio while driving the bus. The staff and training worksheet will need to be filled out in its entirety for what is applicable to the bus drivers. Legal designee information forms have been provided for Jason Hall, Administrator/Principal, Anthea Biddix, Preschool Director, and the Lead Teacher positions. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 24 Completed Date: 1/23/2024 Age: From 4 To 5 Total Minutes: 160 Time In: 10:20 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Anthea Biddix, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Anthea Biddix, Preschool Coordinator for Mitchell County Schools, Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. The facility opened at 10am due to inclement weather and road conditions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 12/20/23. A shelter-in-place drill and lockdown drill were practiced on 1/12/24/24. The last monthly playground inspection was documented on 12/8/23. The last sanitation inspection was 8/25/23 two (2) demerits for a Superior classification. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. This Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care (EMC) plan was posted and current. Transportation is provided and maintained by Mitchell County Public Schools. Transportation is provided by the public school bus at the elementary school for daily afternoon drop-offs and field trips. All child care requirements of SECTION .1000 - TRANSPORTATION STANDARDS must be maintained and in compliance. The DCDEE requirements for preschool children on public school buses form was provided to Ms. Biddix today during the visit and can also be located on the DCDEE website under provider forms and documents. The public school off-site records verification for transportation requirements form was provided to Ms. Biddix today and can also be located on the DCDEE website under provider forms and documents. These forms must be available for review during any licensing visit. This facility has been approved as an NC Pre-K program. NC Pre-K Requirements must be met. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Ongoing Instructional Assessment Tool: Gold, Teaching Strategies, 2010-2011 Developmental Screening Tool: Brigance Early Childhood Screens III The ASTM certification for the outdoor climbing structure has been completed for the pour and play surfacing and is on file as required. The children were observed in large group activities, routine care, free play, and resting. Three (3) NC Pre-K children files were monitored. There are seven (7) staff. Four (4) staff files were monitored. The public school off-site records verification for staff records forms must be available for review during any licensing visit and was/was not available for review today. Children’s records are located on-site. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were received via email from Ms. Gregory on 1/9/24 and 1/4/24 respectively. Continue visiting the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, to learn more about the assessment process and the many resources to prepare for the Environment Rating Scale (ERS) assessment. Also continue working with MaryLee Yearick with the local child care resource and referral agency to prepare for the ERS assessment. Ms. Gregory has elected to have ERS assessment for the opportunity to transition to a rated license. Programs with less than a three-star license will not be able to receive subsidy funding. The facility is currently serving children on subsidy vouchers. To meet facility requirements for the NC Pre-K program, the facility must have the Environment Rating Scale (ERS) assessment, score a 5.0 on the ECERS-R assessment, and achieve a four-or-five star rated license. The temporary license is effective through 4/12/24. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations of child care requirements were observed: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The staff/child ratio chart in space #153 was not documented to specify what staff/child ratio and group sizes were applicable to the classroom. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An instant cold compress with multiple warnings was stored at or above five feet in the bathroom instead of being locked. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver, W.P., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had background check completed on 11/21/23. One (1) bus driver, D.B., hired on 10/31/23 that is left alone with children and counts in staff/child ratio had a background check completed on 1/11/24. G.S. 110-90.2(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two (2) bus driver staff that are left alone with children and count in staff/child ratio did not have an acknowledgement on file. .0608(d)(1-4) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. There are two (2) bus drivers that are left alone with children riding the bus and count in staff/child ratio while driving the bus. The two (2) bus drivers have not successfully completed CPR and First Aid training. .1102(c-d) Technical assistance for correction plan: Criminal Background Check *A plan must be put in place to state how any future staff that are left alone with children will have a background check prior to employment. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. CPR and First Aid Training *The two (2) bus driver staff must take CPR and First Aid training through an approved agency and an approved course. While waiting to take CPR and First Aid, other qualified staff that have CPR and First Aid training may count in staff/child ratio on the bus. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Prevention of Shaken Baby and Abusive Head Trauma Policy *The two (2) bus drivers must review the policy and have an acknowledgement on file as outlined in the child care rule below. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Storage of Products with Multiple Warnings - Corrected During the Visit *The instant cold compress was taken out of the bathroom and locked during the visit. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Staff/Child Ratios Chart – Corrected During the Visit *The staff/child ratios chart must specify which staff/child ratios are applicable to the classroom. 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS (a) (10) the staff/child ratio applicable to a classroom as described in this Paragraph shall be posted in that classroom in an area that parents are able to view at all times. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history score for the facility was 94% prior to today’s visit. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24 or it may result in one (1) point in staff education points. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. For assistance with individual WORKS accounts, contact WORKS for assistance - https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS/Contact-WORKS-Customer-Service Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form have been submitted and the ERS assessment was ordered on 1/9/24. The scheduled ERS assessment window starts on 2/12/24. Quality Point: A quality point has not been determined. Curriculum: The Creative Curriculum for Preschool, 6th Edition, Teaching Strategies, 2016 Consultation: We discussed the requirements for bus drivers left alone with children and counted in staff/child ratio while driving the bus. The staff and training worksheet will need to be filled out in its entirety for what is applicable to the bus drivers. Legal designee information forms have been provided for Jason Hall, Administrator/Principal, Anthea Biddix, Preschool Director, and the Lead Teacher positions. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2802 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3002 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: GREENLEE PRIMARY PRE-K Facility ID: 61000068 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 19 Completed Date: 11/30/2023 Age: From 4 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and also signed by Rebecca Buchanan, during the visit. An electronic signed copy of the visit summary was electronically emailed to Jennifer Gregory, Mitchell County Schools Assistant Superintendent, and Anthea Biddix, Preschool Coordinator for Mitchell County Schools. Rebecca Buchanan, and Elisabeth Hughes, Lead Teachers, were on-site and available to answer questions. Currently this center operates with a Temporary License, issued for 10/12/23 and is effective through 4/12/24. The restrictions include daytime care only. Maximum capacity 36 children. The child care facility has been approved as a North Carolina Pre-Kindergarten (NC Pre-K) site. If any changes to the program need to be made or you decide to sell the child care business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, the classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 11/17/23. A shelter-in-place drill or lockdown drill has not been practiced and is due on or before 1/13/24. The last monthly playground inspection was documented on 11/30/23. A sanitation inspection has not been conducted while children are in care. An approved fire inspection was completed on 9/27/23. The Department of Public Instruction (DPI) program follows the Risk Management Plan of Greenlee Primary School. The emergency medical care EMC) plan was posted and current. An incident log was in use and maintained. The children were observed during outdoor play, transitioning indoors, lunch in the school cafeteria, and rest. Lunch today was breaded chicken, rice, corn, applesauce, and milk. One (1) child had glazed carrots instead of corn. The menu stated lunch today was orange chicken, rice, glazed carrots, peas, fruit, and milk. There are twenty-two (22) children enrolled. All children enrolled are NC Pre-K. There are five (5) staff. Three (3) staff files were monitored. The Initial Application for Assessment for a Two Component Star Rated License and the Rated License Request for Review Form were provided via email to Ms. Gregory and Ms. Biddix during the visit today. Plan to visit the ncrlap.org website to learn more about the assessment process. You may choose to have the Environment Rating Scale (ERS) assessment for the opportunity to transition to a rated license. The temporary license is effective through 4/12/24. The following violations of child care requirements were observed today: Violation Number Comment Rule 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four (4) staff do not have a signed an dated statement that they received the personnel and operational policies. Refer to the staff and training worksheet. 10A NCAC 09 .0514(g) 1303 Application was not signed by the parent. Three (3) of three (3) child applications do not have a parent signature. Refer to the children record worksheet. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Three (3) of three (3) child applications do not show names of those to whom the center is authorized to release the child. Refer to the children record worksheet. .0801(a)(7) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Three (3) of three (3) child files did not contain emergency medical care information in the file. Refer to the children record worksheet. .0802(c) 1314 Emergency information did not name childs health care professional. Three (3) of three child files did not name the choice of health care professional. Refer to the children record worksheet. .0802(c)(2) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Three (3) of three child files did no contain information needed for safe medical treatment. Refer to the children record worksheet. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. Three (3) of three (3) child files did not have emergency medical care information signed by the parent of the child. Refer to the children record worksheet. .0802(d) 1318 Medical authorization was not present on child's first day. Three (3) of three (3) child files did not have medical authorization on the child's first day. Refer to the children record worksheet. .0802(d) 1319 Medical authorizations were not accessible to staff. Medical authorizations were not accessible to staff of the three (3) child files reviewed. Refer to the children record worksheet. .0802(d) 1329 Application for enrollment did not include all required information. Three (3) of three (3) child files did not contain the particular fears the child has, any allergies and symptoms, or unique behavior characteristics on the child applications. Refer to the children record worksheet. .0801(a)(1-7) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Four (4) of four (4) staff do not have the acknowledgement on file. Refer to the staff and training worksheet. .0608(d)(1-4) Technical assistance for correction plan: Child Application It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. ***Update the child application to include all information in the child care rule below. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (1) emergency medical information as set forth in Rule .0802(c) of this Section; (2) the child's full name and the name the child is to be called; (3) the child's date of birth; (4) any allergies and the symptoms and type of response required for allergic reactions; (5) any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; (6) fears or behavior characteristics that the child has; and (7) the names of individuals to whom the center may release the child, as authorized by the person who signs the application. Child Emergency Medical Care Information It is recommended to use the Division of Child Development and Early Education (DCDEE) child application that can be found the DCDEE website under provider forms and documents. Plan to audit all child files. *****Update the emergency medical care information to include all that is required in the child care rule below. *All parents must sign a statement authorizing the center to obtain medical attention for the child in an emergency. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. (d) Each child's parent, legal guardian, or full-time custodian shall sign a statement authorizing the center to obtain medical attention for the child in an emergency. That statement shall be on file on the first day the child attends the center. It shall be easily accessible to staff so that it can be taken with the child whenever emergency medical treatment is necessary. Prevention of Shaken Baby and Abusive Head Trauma Policy – Staff Acknowledgement *The policy must be reviewed by all staff and the acknowledgement must be on file. Refer to the child care rule below for specifics of what is to be included on the acknowledgement form. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) … Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Staff Review of Operational and Personnel Policies *All staff must sign and date a statement verifying that the staff have reviewed the personnel and operational policies. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have education evaluated by WORKS on or before 3/1/24. *Jason Hall, Principal/Administrator, will need to create a WORKS account, upload his Principal License into WORKS, and apply for the Early Childhood (EC) Administrator position to allow for an education evaluation as an Early Childhood Administrator. *Rebecca Young Buchanan, NC Pre-K Teacher, needs to upload a request letter into her WORKS account to have her elementary degree re-evaluated based on the updated degree criteria. Ms. Young must also upload her B-K license into her WORKS account. *Kerri E. Honeycutt Hughes, NC Pre-K Teacher, needs to submit original, unopened transcripts to WORKS for an education evaluation for the Lead Teacher position. Ms. Honeycutt Hughes must also upload her B-K license into her WORKS account. Program Standards: The Initial Application for a Two Component Star Rated License and the Rated License Request for Review form were provided via email today to Ms. Gregory and Ms. Biddix. Plan to review the forms and return on or before 12/14/23. Quality Point: A quality point has not been determined. Curriculum: 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. Rated License Consultation: ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. Since you want to have the Environment Rating Scale completed, it is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: The ASTM certification is in process of being completed for the outdoor climbing structures. Per teacher reports, children are not using the equipment until the ASTM certification is on file. No children were observed using the outdoor climbing structure today during outdoor time. We discussed the children walk to the cafeteria daily for breakfast and lunch. I am researching to find out if this is considered auxiliary space with the permission form on file or if this space will need to be approved for daily use. We discussed there are parents that believe their child may have a peanut butter allergy. There is no documentation on file to state this is a food allergy. No medication is on-site for the child. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. Reminder that children’s medical reports and immunizations are due within 30 days of enrollment. Any staff with name changes, need to submit those changes through their WORKS account and their Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) portal account. Because the child care facility has been approved as a NC Pre-K site, a four or five star rated license must be achieved and the classroom must score a minimum of 5.0 on the ERS assessment. 10A NCAC 09 .3002 FACILITY REQUIREMENTS (a) Programs serving NC Pre-K children shall maintain a four-or five-star rated license in accordance with G.S. 110-90 (4) and Section .2800 of this Chapter. (b) All NC Pre-K licensed programs shall have an assessment completed every three years using the Early Childhood Environment Rating Scale-Revised Edition assessment tool as a part of the rated license reassessment process as defined in 10A NCAC 09 .0102(15), (25) and (40). Classrooms that score below 5.0, shall be reassessed the following year and a minimum score of 5.0 must be achieved in order to continue to be approved as a NC Pre-K site. At least one NC Pre-K classroom shall be selected for an assessment during the reassessment process. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. The EMC plan must be updated at least annually. We discussed that school bus drivers are counted in staff/child ratio and are required to meet all applicable child care requirements, including but not limited to; the Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter, staff medical report, TB Test/Screening, the prevention of shaken baby and abusive head trauma policy acknowledgement, CPR/First Aid training, Recognizing and Responding to Suspicions of Child Maltreatment training, and health and safety trainings (bus training can count towards health and safety trainings). Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times