10A NCAC 09 .0304 · Violation

Name of Operation: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0510 · Violation

Name of Operation: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 16 Completed Date: 4/10/2025 Age: From 4 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 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 a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Ms. Nesbitt was available today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – five-star center license issued on 7/10/19. Special Services/Restrictions – daytime care, meets enhanced ratios and space, certified Developmental Day, meeting reduced ratios. Children can only use dinosaurs and swing set on the playground. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 4/9/25. The last lockdown drill was practiced on 11/15/24. The last playground inspection was documented on 4/4/25. The last fire inspection was approved on 11/19/24. The last sanitation inspection was conducted on 3/24/25 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 11/11/2020 without hazards. Lead paint and asbestos testing was completed on 6/19/24. Upon arrival, I introduced myself and communicated the purpose of the visit. Sixteen (16) children, four (4) to five (5) years of age, were present with four (4) staff members. The children participated in group time, during which they reviewed letters and sang songs. Before the end of group time, the children danced to “Jack Hartmann” dance songs played on the smart screen. The screen time lasted approximately less than ten (10) minutes. The children then transitioned to free play. They engaged with various materials such as playdough, sensory toys, books, Lego trains, cardboard blocks, paper and scissors, and housekeeping materials. Some children worked with a staff member to complete “chick art,” as the class is currently observing several chicken eggs in an incubator in the classroom. One (1) child was asleep on a mat during free play. According to Ms. Nesbitt, the child had not gotten enough sleep and fell asleep while sitting with her. There is abundant evidence of children’s writing displayed throughout the classroom and visible in their play. One (1) of the staff members was assigned to shadow one (1) child with a disability. The playground was inspected. According to Ms. Nesbitt, the children only play on the swings and the dinosaur slide structure. Other equipment is used by children in other grades. The gravel measured approximately one (1) inch deep around the swings and one-half (½) inch deep around the dinosaur slide. Per the playground inspection, the loose surfacing has been marked as “failed” since December 2024. Additional notes regarding this matter are documented under the consultation section. Supervision and interaction were adequate. Staff members moved around the classroom and interacted with different children. No medications were maintained in the classroom. Four (4) existing staff’s files were monitored. All four (4) staff members have valid criminal background letters and current CPR/First Aid certificates in their files. The ABCMS system was monitored during the visit, and all staff members’ criminal background letters were valid in the system. The program does provide transportation. You stated that you transport two (2) children, four-to-five-year-old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces #1. 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 not reviewed today in consideration for the effects of tropical storm Helene. Children files were not monitored today. The classroom operates from 7:30 a.m. to 2:30p.m. 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 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was conducted and logged on 11/15/24 per emergency drill log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: #1811: Shelter-in-place/lockdown drill A shelter-in-place or lockdown drill must be conducted every three (3) months. Your last lockdown drill was conducted on 11/15/24, which means that the next required drill should have been conducted in February 2025. Since your program is housed in a DPI school, shelter-in-place or lockdown drills may not be conducted by the school every three (3) months. If that is the case, please conduct a drill just for your classroom. Please refer to 10A NCAC 09 .0604(u) for regulatory guidance. 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 4/24/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@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: Pea Gravel: During today’s monitoring, the depth of pea gravel was measured at one (1) inch around the swings and one-half (½) inch around the dinosaur slide. Additionally, per the playground inspection, the depth of the loose surfacing has been marked as “failed” since December 2024. Loose surfacing can become packed down and hardened over time. While the pea gravel on the playground may appear to be several inches deep, once it becomes compacted, it forms a hard surface. If my measuring prong does not penetrate the surface, it is no longer considered “loose surfacing.” As such, the current pea gravel on the playground does not meet the regulatory standards set by child care rules. A minimum of six (6) inches of loose surfacing is required under both the dinosaur slide structure and the swings. This surfacing must extend six (6) feet in all directions around the slide structure. For swings, the surfacing must extend a distance equal to twice the height from the pivot point to the ground, measured outward from the external limits of the swing set. Currently, the gravel appears to come up near the top of the border due to the buildup of compacted gravel beneath the loose layer. Adding six (6) inches of gravel may not be supported by the current border, and it may need additional construction to resolve this issue. I am aware of the challenges schools face in obtaining and maintaining sufficient loose surfacing depending on the location of the playground. Therefore, I suggest considering more sustainable options, such as mulch or artificial surfacing that meets ASTM standards. Because this issue may not be resolved with a short-term fix, I have provided this technical assistance. Please continue discussions with Sarah Upton, Child Care Consultant, regarding this matter. While a long-term solution is being explored and implemented to ensure a safe playground environment, staff members must closely supervise children’s play and prevent risky behaviors. Optional portable play materials shall be provided on the sidewalk as needed to prevent children’s injuries due to insufficient depth of loose surfacing. Screen time log: During today’s visit, a screen time was offered to children during group time. Any time, children see video images on the screen, such as smart board or tablets, you must log the time on the screen time log. Screen time must be limited to 30 minutes a day and no more than a total of two and a half hours per week, per child. Refer to 10A NCAC 09 .0510(d)(2)(A-C). 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. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 18 Completed Date: 4/23/2024 Age: From 4 To 5 Total Minutes: 110 Time In: 01:40 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this program that is owned and operated by Haywood County Public Schools. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A printed signed copy of the visit summary was left on-site. Upon my arrival I introduced myself to Ms. Nesbitt and explained the reason for my visit. Ms. Nesbitt was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit September 26, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Five Star issued on June 10, 2019 Special Services/Restrictions –NCPRE-K, Certified Developmental Day , meets all enhanced requirements. The last annual compliance visit was conducted on September 26, 2023 The last fire drill was practiced on April 18, 2024 The last lockdown drill was practiced on March 26, 2024 The Emergency Medical Care plan was posted and current. I observed children during nap, group time and departure. 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/ One new staff has been hired since your Annual Compliance on September 26, 2023. Based on information provided in the staff file the employees hire date is marked as 11-08-2023. Qualification letter dated 11-03-2021 expires 11-03-2024. Recognizing and Responding to Suspicions of Child Maltreatment training completion date 01-05-2024. First Aid/CPR training card was dated 03-09-2022 expiration date 03/2024. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was available for review. This employee is hired through Haywood County Public Schools and some information is filed at the Central Office. The following violations written during this visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A new hire was employed on 11-08-2023 and according to their First Aid card they had completed the First Aid training on 03-09-2022 with the expiration date noted as 03/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A new hire was employed on 11-08-2023 and according to their CPR card they had completed CPR training on 03-09-2022 with the expiration date noted as 03/2024. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A new hire was employed on 11-08-2023 and there was not a signed acknowledment on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance: Item 1048 and Item 1049: All teachers must complete First Aid and CPR training within ninety (90) days of employment and it shall be renewed on or before the expiration date listed on the completion card or certificate.. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by May 07, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Closure Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0608 · Violation

Name of Operation: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 18 Completed Date: 4/23/2024 Age: From 4 To 5 Total Minutes: 110 Time In: 01:40 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this program that is owned and operated by Haywood County Public Schools. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A printed signed copy of the visit summary was left on-site. Upon my arrival I introduced myself to Ms. Nesbitt and explained the reason for my visit. Ms. Nesbitt was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit September 26, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Five Star issued on June 10, 2019 Special Services/Restrictions –NCPRE-K, Certified Developmental Day , meets all enhanced requirements. The last annual compliance visit was conducted on September 26, 2023 The last fire drill was practiced on April 18, 2024 The last lockdown drill was practiced on March 26, 2024 The Emergency Medical Care plan was posted and current. I observed children during nap, group time and departure. 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/ One new staff has been hired since your Annual Compliance on September 26, 2023. Based on information provided in the staff file the employees hire date is marked as 11-08-2023. Qualification letter dated 11-03-2021 expires 11-03-2024. Recognizing and Responding to Suspicions of Child Maltreatment training completion date 01-05-2024. First Aid/CPR training card was dated 03-09-2022 expiration date 03/2024. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was available for review. This employee is hired through Haywood County Public Schools and some information is filed at the Central Office. The following violations written during this visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A new hire was employed on 11-08-2023 and according to their First Aid card they had completed the First Aid training on 03-09-2022 with the expiration date noted as 03/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A new hire was employed on 11-08-2023 and according to their CPR card they had completed CPR training on 03-09-2022 with the expiration date noted as 03/2024. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A new hire was employed on 11-08-2023 and there was not a signed acknowledment on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance: Item 1048 and Item 1049: All teachers must complete First Aid and CPR training within ninety (90) days of employment and it shall be renewed on or before the expiration date listed on the completion card or certificate.. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by May 07, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Closure Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, 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: HAZELWOOD ELEMENTARY Facility ID: 44000142 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 18 Completed Date: 4/23/2024 Age: From 4 To 5 Total Minutes: 110 Time In: 01:40 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to this program that is owned and operated by Haywood County Public Schools. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and also signed by Ashley Nesbitt, Lead Teacher, during the visit. A printed signed copy of the visit summary was left on-site. Upon my arrival I introduced myself to Ms. Nesbitt and explained the reason for my visit. Ms. Nesbitt was available to assist with questions and paperwork needed. The program’s annual compliance visit was conducted on visit September 26, 2023. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Permit type – Five Star issued on June 10, 2019 Special Services/Restrictions –NCPRE-K, Certified Developmental Day , meets all enhanced requirements. The last annual compliance visit was conducted on September 26, 2023 The last fire drill was practiced on April 18, 2024 The last lockdown drill was practiced on March 26, 2024 The Emergency Medical Care plan was posted and current. I observed children during nap, group time and departure. 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/ One new staff has been hired since your Annual Compliance on September 26, 2023. Based on information provided in the staff file the employees hire date is marked as 11-08-2023. Qualification letter dated 11-03-2021 expires 11-03-2024. Recognizing and Responding to Suspicions of Child Maltreatment training completion date 01-05-2024. First Aid/CPR training card was dated 03-09-2022 expiration date 03/2024. Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was available for review. This employee is hired through Haywood County Public Schools and some information is filed at the Central Office. The following violations written during this visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A new hire was employed on 11-08-2023 and according to their First Aid card they had completed the First Aid training on 03-09-2022 with the expiration date noted as 03/2024. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A new hire was employed on 11-08-2023 and according to their CPR card they had completed CPR training on 03-09-2022 with the expiration date noted as 03/2024. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A new hire was employed on 11-08-2023 and there was not a signed acknowledment on file that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance: Item 1048 and Item 1049: All teachers must complete First Aid and CPR training within ninety (90) days of employment and it shall be renewed on or before the expiration date listed on the completion card or certificate.. According to 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Item 1874 anyone that is going to be caring for children and counted in staff/child ratio must sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. According to 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by May 07, 2024 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@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. Closure Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, 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