W D Williams Elementary Head Start

10A NCAC 09 .0604 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 15 Completed Date: 4/22/2026 Age: From 4 To 5 Total Minutes: 185 Time In: 09:55 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 11/24/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 4/16/2026. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non - Profit Corporation, Community Action Opportunities, is current/active as of 4/16/2026. Permit type – Five Star Center License, issued 4/7/2025 Special Services/Restrictions – first shift, meets reduced ratios, meets enhanced space. The last fire drill was practiced on 3/26/2026. The last lockdown drill was practiced on 1/28/2026. Next drill is due by the 4/30/2026. The last playground inspection was documented on 4/20/2026. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) 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. The program does not provide transportation. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of four- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. Once outside the children engaged in play with the climber and a playhouse. At 10:30a, the staff member and half the children went to get portable materials. They returned at 10:35a, and the children assisted the staff member with putting out the blocks, cars, and the small exercise trampoline for the children to engage in play with. While using the small exercise trampoline, one (1) staff member was stationed at the trampoline to ensure safety and that only one (1) child was using the trampoline at a time. The staff member had the children line on the fence until it was their turn. When it was their turn, the child counted to ten (10) and then had to return to the line or continue playing. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. At 11:30a, the group transitioned to the cafeteria. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. We discussed prior to serving the meal to the children, a staff member will need to document the changes that were made to the menu. The cafeteria staff could assist with by having a menu posted in the cafeteria documenting the changes or having a dry erase board to use to document the changes in the menu. Then classroom staff document the changes on the class menu as well. While at lunch two (2) children left early. The staff talked with the parents prior to leaving. The parents signed the children out using the Ipad to document them leaving early. At 12:00p the group transitioned to the restroom and prepared for nap. Once in the room, the children got on their cots. The staff used natural lighting, and additional lighting in areas where lighting is needed, along with calm music. Staff moved about the indoor area to supervise the children during nap. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025 and plans to apply for reassessment prior to April 7, 2028. We will begin discussion six (6) months prior to April 7, 2028. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets uncovered in the teacher area on the power strip. Three (3) electrical outlets in the hallway uncovered. 10A NCAC 09 .0604(c) 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 child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 528- Lunch consisted of ham and cheese sandwich, pears, broccoli, and milk. Menu posted documented chicken sandwich, peaches, broccoli, and milk. After the children were served and began eating the staff member updated the menu to reflect what was served to the children. Rule Reference: 10A NCAC 09 . 0901(b) Item 812- While monitoring indoors, I observed two (2) outlets uncovered in the teacher area on the power strip. We discussed ensuring when an item is unplugged to cover the open outlet with a safety outlet plug. While on the way to the cafeteria, I observed three (3) electrical outlets in the hallway uncovered. We discussed staff should carry extra safety outlet plugs with them to cover any uncovered outlets as they pass by. Rule Reference: 10A NCAC 09 .0604(c) Item 1805- The child care operator has not notified the Division of the two (2) staff, including the administrator, that are hired at the WD Williams Elementary School Head Start. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. Rule Reference: 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. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/6/2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: -Reminders- Staff member hired 8/17/2016 health and safety training topics are due to be renewed by 3/2027. Staff member hired 12/16/2024 on-going training hours are due by 12/16/2026. The Healthy Social Behaviors Project (HSB) helpline for managing challenging behaviors telephone number (1-888-600-1685 Option 1), online portal, and Talk to the Expert space in the Social-Emotional Connections is available. Healthy Social Behaviors Project (HSB) now have an email for requesting HSB Coaching or training: HSB@ChildCareResourcesInc.org. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.go If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .3222 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 14 Completed Date: 11/24/2025 Age: From 3 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Benjamin Hanson, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Benjamin Hanson, Lead Tacher available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 11/24/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 11/24/2025. Permit type – Five (5) Star Rated License, issued 4/7/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 12/6/2024. The last fire drill was practiced on11/21/2025. The last lockdown drill was practiced on 11/12/2025. The last playground inspection was documented on 11/21/2025. The last fire inspection was approved on 9/21/2025. The last sanitation inspection was conducted on 9/10/2025 with ten (10) demerits for a superior classification. Lead water testing was completed on 7/10/2024 without hazards. Lead paint testing was completed on 2/20/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once in the classroom, I was greeted by the staff. The group of three- to five-year-old children were engaged in free play. When free play concluded, the group cleaned up and put on their jackets to prepare to go outside for gross motor play. Once outside the children engaged in play with the climber and a playhouse. After gross motor play, the group transitioned indoors to wash hands, water, and prepare for lunch. Lunch consisted of cheese sticks, green beans, applesauce, and milk. The program does not provide transportation. 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. Two (2) children files were monitored today, one (1) NC Pre-K funded and one (1) Head Start funded. The classroom operates from 7:15 a.m. to 1:55 p.m. The class currently has no medications for the children enrolled. Staff and children’s files were monitored. While monitoring children’s files, one (1) child enrolled 8/25/2025 medical report and immunizations were not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical and immunization has not been turned in. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/7/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 7, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 medical report was not on file for review. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) child enrolled 8/25/2025 immunizations was not on file for review. 10A NCAC 09 .0302(d)(2) Technical assistance was provided as follows: Item 1321- One (1) child enrolled 8/25/2025 medical report was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the medical has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site. Rule Reference: GS 110-91(1) Item 1323- One (1) child enrolled 8/25/2025 immunizations was not on file for review. When asked Mr. Hanson stated that the child had a doctor’s appointment on November 18, 2025, but was unsure why the immunization has not been turned in. We discussed reaching out to the parent and the central office to request a copy for the child’s file on-site.. Rule Reference: GS 110-91(1) 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 • Signed statement of compliance I must receive your compliance statement by 12/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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 to bringing additional equipment outside to provide a variety of items for the children to engage in play with. -Rake the mulch from the barrier to the slide exits to ensure the adequate mulch depth is met. -Staff member hired 12/16/2024, five (5) on-going training hours is due by 12/16/2025. 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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. 110-105 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 .1101 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 11 Completed Date: 4/9/2024 Age: From 3 To 5 Total Minutes: 156 Time In: 10:09 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Amy Band, Lead Teacher. Shawn Wolff, Administrator arrived at 10:17a and I reviewed the reason for my visit with him as well. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. Amy Band, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 10/19/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in free play with books, puppets, train, puzzles, farm animals, blocks, and magnetic tubes. Staff were actively supervising the children while engaging in one-on-one activities with the children. Ms. Gurrea called a child over to be the bell ringer. When the children rang the bell, she gave a ten (10) minute warning till time to clean up. When the ten (10) minutes was up, the clean-up song began to play and the children began to clean up. After cleaning up, the children transitioned to the carpet for group time gross motor activity of ABC yoga. During group time, one (1) student was fidgeting, and the staff provided him with alternative seating during group time and an alternative activity. Group time concluded and then the staff reviewed the schedule to discuss the changes due to the weather. The group transitioned to a special group activity. Special group activities consisted of math activity, and story writing. Once the special group activities concluded, the group transitioned to the carpet to hear the story that was written during the special group activity. Then the children transitioned to the cafeteria for lunch. After lunch, the children transitioned to use the restroom and wash their hands. Then the group transitioned to the room for nap time. Once in the room, the children got their blankets and went to their assigned cot. The staff recalled the day and started the calming nap time music. The lunch menu documented hamburger, sweet potato fries, apple juice and milk. The lunch served today consisted of hamburger, green beans, orange/pineapple juice, and milk. The teacher updated the menu to reflect the meal components that were served. The last fire drill was practiced on 3/28/2024. The last emergency drill, shelter in place drill, was practiced on 3/6/2024. The last fire inspection was approved on 1/31/2024. The program’s most recent sanitation inspection was completed on 9/12/2023, with five (5) demerits. he Emergency Preparedness and Response plan is current as of 9/7/2023. The Emergency Medical Care Plan is posted and was updated in 8/24/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There has been one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. Concern: Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. The NC Pre-K requirement in section .3000 of the child care rules remaining items were monitored for compliance. During the 10/19/2023 annual compliance visit, partial monitoring of the NC Pre-K requirements was conducted. The NC Pre-K monitoring tool on-site for the 2023-2024 school year was not completed during the 10/19/2023. During today’s visit, the NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored during the 10/19/2023 visit and the completed health assessments and developmental screenings were monitored during that visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Outside, the left gate post concrete anchor was exposed. 10A NCAC 09 .0601(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. .1101(a)(b) 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 4/23/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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. Technical Assistance for Correction Plan: Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, the left gate post concrete anchor was exposed. I recommend adding dirt or mulch to cover the exposed concrete. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. - Staff member VM hired 3/25/24 had a complete Documentation of Orientation form for the first two (2) weeks, documented five (5) hours instead of the six (6) hours required within the first two weeks. The first two weeks of orientation was due by 4/8/2024. I recommend reviewing the documentation of orientation forms prior to the two (2) week deadline to ensure that the staff has completed each training topic and obtained the required six (6) hours. Consultation: Today, we discussed the following: - We discussed the upcoming prep assessment. The facility has a window from 5/6/2024 through 5/31/2024. - When completing the documentation of orientation form, ensure that each training date, hours, and provider is documented for each training topic. - Outside, the mulch is pushed out at the slide exits. Staff will need to rake mulch to fill in where the children have pushed the mulch out. - Electrical outlets ensure that each outlet is covered along the route the children will take in the cafeteria, throughout the school, etc. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 .1103 · Violation

Name of Operation: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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: W D WILLIAMS ELEMENTARY HEAD START Facility ID: 11000395 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 13 Completed Date: 10/19/2023 Age: From 3 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 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 Karla Terry, Child Care Consultant and also signed by Amy Band, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Amy Band, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-seven percentage (77%) as of 10/18/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 10/18/2023. The facility operates with a Five (5) Star Rated License, issued 6/18/2018 with restrictions as follows: first shift (daytime care), meets enhanced space, and meeting reduced ratio. The facility serves children with special needs, Head Start, and NC Pre-K. The last annual compliance visit was conducted on 11/2/2022. The last fire drill was practiced on 9/8/2023. The last lockdown drill was practiced on 9/8/2023 The last playground inspection was documented on 10/11/2023. The last fire inspection was approved on 9/14/2023. The last sanitation inspection was conducted on 9/12/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response plan was reviewed and updated on 9/7/2023. The approved curriculum for four-year-old children is The Creative Curriculum for Preschool, sixth (6th) Edition. Upon arrival, I was greeted by the Lead Teacher. I observed the group with three- to four-year-old children engaged in center play activities with the easel, magnetic tubes, leaf matching, and blocks. After center play, the group transitioned to the carpet for group time with the lead teacher while the other teacher put out the cots. When group time concluded, the group prepared to go outside by putting on their coats and lining up. Once everyone had their coats on and was in line, the group transitioned outdoors for gross motor play. After outside play, the group arrived in the classroom to put their coats away, transition to wash hands, and go to lunch. The Education Manager arrived at 11:30a to assist the staff. Lunch consisted of breakfast scramble, maple mini pancakes, sweet potato fries, oranges, and milk. There are three (3) existing staff members, and one (1) staff file was reviewed during today’s visit. Two (2) children’s files were reviewed today, and one (1) child’s file reviewed was NC Pre-K funded. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the routine unannounced visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. One (1) child’s file was monitored for requirements. You stated you have completed the Brigance Early Childhood Screens III developmental screening tool for each child. The center uses the Teaching Strategies Gold ongoing instructional assessment tool to document evidence of children's progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:15 a.m. to 1:45 p.m. Home visits and Parent conferences are held two (2) times per year. You stated that you use the Remind communication app to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by inviting parents to volunteer, and we have an open door policy. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. 10A NCAC 09 .0604(c) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. .1103(b) Technical assistance was provided as follows: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - One (1) outlet uncovered near the girls handwashing sink in the hallway. One (1) outlet uncovered in the hallway near the cafeteria ramp. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. - Staff member AB health and safety training topics were not completed within five (5) years of the previously completed training topic. The health and safety training certificates on file were completed April of 2017 and were updated on September 17, 2022. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 11/2/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - I recommend that when you are checking bookbags and notice any sprays, lotions, etc. to remove them from the bookbag and put up five (5) feet. - Health and Safety training topics are to be completed within five (5) years of the previous completion certificate date. - Electrical Outlets- I recommend carrying extra outlet covers with you to be able to cover any uncovered electrical outlets you notice throughout your route through the school. - Emergency Preparedness and Response (EPR) Plan- I recommend that you mark your calendar to remind you when the EPR plan is due to be updated. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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 licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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