10A NCAC 09 .0304 · Violation

Name of Operation: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 46 Completed Date: 2/12/2025 Age: From 1 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Jenny Hill, Administrator, during the visit. Today, Ms. Hill, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of 02-12-2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Projects, Inc. is current/active as of 02-12-2025. Permit type – Five-star Center License issued on 5-25-21. Special Services/Restrictions – Daytime care, no cooking allowed, Meets enhanced ratios and space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 02-26-24. The last fire drill was practiced on 01-16-2025. The last lockdown drill was practiced on 02-06-2025 The last playground inspection was documented on 1-16-2025. The last fire inspection was approved on 04-30-24. The last sanitation inspection was conducted on 12-12-2024 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The center’s EPR plan was last updated on 10-10-2024. 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 due to them not being completed in counties affected by Tropical Storm Helene. The classroom operates from 8:00 a.m. to 2:30 p.m. This faclity does not provide transportation. Upon arrival, I announced my presence and the purpose of the visit to Ms. Hill. I observed one (1) group of three-to-five-year-old children during afternoon snack, which consisted of apples and peanut butter. I observed one (1) group of three-to-five-year-old children playing with manipulatives at the tables and departure. I observed a group of one-to-two-year-old children during group time and preparing for lunch. I observed a group of two-to-three-year old children during lunch, which consisted of BBQ sandwiches, slaw, pears, and milk. A total of eleven (11) staff were listed on the Staff and Training Worksheet completed by Ms. Hill. I reviewed (3) new staff files and one (1) existing staff file were reviewed. Five (5) children’s files were reviewed form the NC Pre-K classroom. 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 written: Violation Number Comment Rule 209 Children used space that was not approved.During my visit the children enrolled in the wrap-around part of the program were observed being cared for in the space located beside Ms. Hill's office, which is being used for a teacher's lounge/wellness room and a storage area for extra materials such as books. This space has not been measured or approved to be used as a space to care for children. GS 110-91(1)&(4-5) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In classroom A children's blankets were stored on the child's cot in a way that caused the blanket to touch the cot above therefore, contaminating the blanket. 15A NCAC 18A .2821(a) 1898 Staff did not complete the health and safety training within one year of employment. After review of the staff and training worksheet it was noted that one (1) staff that was hired on 05/08/2023 did not complete the required health and safety training until 01/06/2025. .1102(a) Technical assistance provided: Item #209 any space used to care for children must be an approved space, meaning that it has been measured, approved by sanitation and fire, and must include all the required posted items. If this is a space you would like to have approved you will need to contact your Environmental Health Specialist and the Fire Inspector and request an inspection. Once those inspections are completed you will then contact me to come and complete my inspection, which includes measuring. Item # 0615 today I spoke with the lead teacher in classroom A about ways to store the blankets so that they do not touch the bottom of the cot above. Due to the size and the fluffiness of the blankets the children use they cannot be stored flat and not touch. I suggested today using thinner blankets as an option to correct this concern or to store the blankets in the clear containers used in the child’s cubby. As we talked about today you need to be able to see light for the full length of the cot between each cot. Item # 1898 all staff must complete the require health and safety training topic areas within one (1) year of employment. Topic areas can be found on the DCDEE Moodle if you choose to complete them that way. Compliance 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 February 26, 2025 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. Rated License Assessment: The application for Rated License Assessmenthas been submitted. Program Points: The program received a ECERS-R prep-year assessments on 05/08/24 and scored a 5.92 and an ITERS-R prep-year assessment on 05/14/2024 and scored a 5.27. The program follows enhanced space and ratios. For NC pre-K classroom, the program follows the staff/child ratios of seven-point level. With the given information, the program points will be 6 pts. Education points: Staff Information Sheet was submitted during the visit today. I will review each staff member’s education on WORKS and determine the points for the Education Points. Quality points: Per application “education-turnover rate” and “programmatic- curriculum, program standards” are listed under Quality Point options. Per discussion with Tabitha Justice, Education & Mental Health Coordinator, Staff Benefit Package and Infrastructure of Parent Involvement are chosen for the Quality Point option based on my advice that Head Start programs have excellent parent involvement activities and staff benefits. These are more stable options for the program to maintain. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 46 Completed Date: 2/12/2025 Age: From 1 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Jenny Hill, Administrator, during the visit. Today, Ms. Hill, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of 02-12-2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Projects, Inc. is current/active as of 02-12-2025. Permit type – Five-star Center License issued on 5-25-21. Special Services/Restrictions – Daytime care, no cooking allowed, Meets enhanced ratios and space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 02-26-24. The last fire drill was practiced on 01-16-2025. The last lockdown drill was practiced on 02-06-2025 The last playground inspection was documented on 1-16-2025. The last fire inspection was approved on 04-30-24. The last sanitation inspection was conducted on 12-12-2024 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The center’s EPR plan was last updated on 10-10-2024. 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 due to them not being completed in counties affected by Tropical Storm Helene. The classroom operates from 8:00 a.m. to 2:30 p.m. This faclity does not provide transportation. Upon arrival, I announced my presence and the purpose of the visit to Ms. Hill. I observed one (1) group of three-to-five-year-old children during afternoon snack, which consisted of apples and peanut butter. I observed one (1) group of three-to-five-year-old children playing with manipulatives at the tables and departure. I observed a group of one-to-two-year-old children during group time and preparing for lunch. I observed a group of two-to-three-year old children during lunch, which consisted of BBQ sandwiches, slaw, pears, and milk. A total of eleven (11) staff were listed on the Staff and Training Worksheet completed by Ms. Hill. I reviewed (3) new staff files and one (1) existing staff file were reviewed. Five (5) children’s files were reviewed form the NC Pre-K classroom. 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 written: Violation Number Comment Rule 209 Children used space that was not approved.During my visit the children enrolled in the wrap-around part of the program were observed being cared for in the space located beside Ms. Hill's office, which is being used for a teacher's lounge/wellness room and a storage area for extra materials such as books. This space has not been measured or approved to be used as a space to care for children. GS 110-91(1)&(4-5) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In classroom A children's blankets were stored on the child's cot in a way that caused the blanket to touch the cot above therefore, contaminating the blanket. 15A NCAC 18A .2821(a) 1898 Staff did not complete the health and safety training within one year of employment. After review of the staff and training worksheet it was noted that one (1) staff that was hired on 05/08/2023 did not complete the required health and safety training until 01/06/2025. .1102(a) Technical assistance provided: Item #209 any space used to care for children must be an approved space, meaning that it has been measured, approved by sanitation and fire, and must include all the required posted items. If this is a space you would like to have approved you will need to contact your Environmental Health Specialist and the Fire Inspector and request an inspection. Once those inspections are completed you will then contact me to come and complete my inspection, which includes measuring. Item # 0615 today I spoke with the lead teacher in classroom A about ways to store the blankets so that they do not touch the bottom of the cot above. Due to the size and the fluffiness of the blankets the children use they cannot be stored flat and not touch. I suggested today using thinner blankets as an option to correct this concern or to store the blankets in the clear containers used in the child’s cubby. As we talked about today you need to be able to see light for the full length of the cot between each cot. Item # 1898 all staff must complete the require health and safety training topic areas within one (1) year of employment. Topic areas can be found on the DCDEE Moodle if you choose to complete them that way. Compliance 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 February 26, 2025 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. Rated License Assessment: The application for Rated License Assessmenthas been submitted. Program Points: The program received a ECERS-R prep-year assessments on 05/08/24 and scored a 5.92 and an ITERS-R prep-year assessment on 05/14/2024 and scored a 5.27. The program follows enhanced space and ratios. For NC pre-K classroom, the program follows the staff/child ratios of seven-point level. With the given information, the program points will be 6 pts. Education points: Staff Information Sheet was submitted during the visit today. I will review each staff member’s education on WORKS and determine the points for the Education Points. Quality points: Per application “education-turnover rate” and “programmatic- curriculum, program standards” are listed under Quality Point options. Per discussion with Tabitha Justice, Education & Mental Health Coordinator, Staff Benefit Package and Infrastructure of Parent Involvement are chosen for the Quality Point option based on my advice that Head Start programs have excellent parent involvement activities and staff benefits. These are more stable options for the program to maintain. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 46 Completed Date: 2/12/2025 Age: From 1 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Jenny Hill, Administrator, during the visit. Today, Ms. Hill, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of 02-12-2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Projects, Inc. is current/active as of 02-12-2025. Permit type – Five-star Center License issued on 5-25-21. Special Services/Restrictions – Daytime care, no cooking allowed, Meets enhanced ratios and space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 02-26-24. The last fire drill was practiced on 01-16-2025. The last lockdown drill was practiced on 02-06-2025 The last playground inspection was documented on 1-16-2025. The last fire inspection was approved on 04-30-24. The last sanitation inspection was conducted on 12-12-2024 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The center’s EPR plan was last updated on 10-10-2024. 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 due to them not being completed in counties affected by Tropical Storm Helene. The classroom operates from 8:00 a.m. to 2:30 p.m. This faclity does not provide transportation. Upon arrival, I announced my presence and the purpose of the visit to Ms. Hill. I observed one (1) group of three-to-five-year-old children during afternoon snack, which consisted of apples and peanut butter. I observed one (1) group of three-to-five-year-old children playing with manipulatives at the tables and departure. I observed a group of one-to-two-year-old children during group time and preparing for lunch. I observed a group of two-to-three-year old children during lunch, which consisted of BBQ sandwiches, slaw, pears, and milk. A total of eleven (11) staff were listed on the Staff and Training Worksheet completed by Ms. Hill. I reviewed (3) new staff files and one (1) existing staff file were reviewed. Five (5) children’s files were reviewed form the NC Pre-K classroom. 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 written: Violation Number Comment Rule 209 Children used space that was not approved.During my visit the children enrolled in the wrap-around part of the program were observed being cared for in the space located beside Ms. Hill's office, which is being used for a teacher's lounge/wellness room and a storage area for extra materials such as books. This space has not been measured or approved to be used as a space to care for children. GS 110-91(1)&(4-5) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In classroom A children's blankets were stored on the child's cot in a way that caused the blanket to touch the cot above therefore, contaminating the blanket. 15A NCAC 18A .2821(a) 1898 Staff did not complete the health and safety training within one year of employment. After review of the staff and training worksheet it was noted that one (1) staff that was hired on 05/08/2023 did not complete the required health and safety training until 01/06/2025. .1102(a) Technical assistance provided: Item #209 any space used to care for children must be an approved space, meaning that it has been measured, approved by sanitation and fire, and must include all the required posted items. If this is a space you would like to have approved you will need to contact your Environmental Health Specialist and the Fire Inspector and request an inspection. Once those inspections are completed you will then contact me to come and complete my inspection, which includes measuring. Item # 0615 today I spoke with the lead teacher in classroom A about ways to store the blankets so that they do not touch the bottom of the cot above. Due to the size and the fluffiness of the blankets the children use they cannot be stored flat and not touch. I suggested today using thinner blankets as an option to correct this concern or to store the blankets in the clear containers used in the child’s cubby. As we talked about today you need to be able to see light for the full length of the cot between each cot. Item # 1898 all staff must complete the require health and safety training topic areas within one (1) year of employment. Topic areas can be found on the DCDEE Moodle if you choose to complete them that way. Compliance 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 February 26, 2025 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. Rated License Assessment: The application for Rated License Assessmenthas been submitted. Program Points: The program received a ECERS-R prep-year assessments on 05/08/24 and scored a 5.92 and an ITERS-R prep-year assessment on 05/14/2024 and scored a 5.27. The program follows enhanced space and ratios. For NC pre-K classroom, the program follows the staff/child ratios of seven-point level. With the given information, the program points will be 6 pts. Education points: Staff Information Sheet was submitted during the visit today. I will review each staff member’s education on WORKS and determine the points for the Education Points. Quality points: Per application “education-turnover rate” and “programmatic- curriculum, program standards” are listed under Quality Point options. Per discussion with Tabitha Justice, Education & Mental Health Coordinator, Staff Benefit Package and Infrastructure of Parent Involvement are chosen for the Quality Point option based on my advice that Head Start programs have excellent parent involvement activities and staff benefits. These are more stable options for the program to maintain. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 46 Completed Date: 2/12/2025 Age: From 1 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Jenny Hill, Administrator, during the visit. Today, Ms. Hill, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of 02-12-2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Projects, Inc. is current/active as of 02-12-2025. Permit type – Five-star Center License issued on 5-25-21. Special Services/Restrictions – Daytime care, no cooking allowed, Meets enhanced ratios and space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 02-26-24. The last fire drill was practiced on 01-16-2025. The last lockdown drill was practiced on 02-06-2025 The last playground inspection was documented on 1-16-2025. The last fire inspection was approved on 04-30-24. The last sanitation inspection was conducted on 12-12-2024 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The center’s EPR plan was last updated on 10-10-2024. 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 due to them not being completed in counties affected by Tropical Storm Helene. The classroom operates from 8:00 a.m. to 2:30 p.m. This faclity does not provide transportation. Upon arrival, I announced my presence and the purpose of the visit to Ms. Hill. I observed one (1) group of three-to-five-year-old children during afternoon snack, which consisted of apples and peanut butter. I observed one (1) group of three-to-five-year-old children playing with manipulatives at the tables and departure. I observed a group of one-to-two-year-old children during group time and preparing for lunch. I observed a group of two-to-three-year old children during lunch, which consisted of BBQ sandwiches, slaw, pears, and milk. A total of eleven (11) staff were listed on the Staff and Training Worksheet completed by Ms. Hill. I reviewed (3) new staff files and one (1) existing staff file were reviewed. Five (5) children’s files were reviewed form the NC Pre-K classroom. 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 written: Violation Number Comment Rule 209 Children used space that was not approved.During my visit the children enrolled in the wrap-around part of the program were observed being cared for in the space located beside Ms. Hill's office, which is being used for a teacher's lounge/wellness room and a storage area for extra materials such as books. This space has not been measured or approved to be used as a space to care for children. GS 110-91(1)&(4-5) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In classroom A children's blankets were stored on the child's cot in a way that caused the blanket to touch the cot above therefore, contaminating the blanket. 15A NCAC 18A .2821(a) 1898 Staff did not complete the health and safety training within one year of employment. After review of the staff and training worksheet it was noted that one (1) staff that was hired on 05/08/2023 did not complete the required health and safety training until 01/06/2025. .1102(a) Technical assistance provided: Item #209 any space used to care for children must be an approved space, meaning that it has been measured, approved by sanitation and fire, and must include all the required posted items. If this is a space you would like to have approved you will need to contact your Environmental Health Specialist and the Fire Inspector and request an inspection. Once those inspections are completed you will then contact me to come and complete my inspection, which includes measuring. Item # 0615 today I spoke with the lead teacher in classroom A about ways to store the blankets so that they do not touch the bottom of the cot above. Due to the size and the fluffiness of the blankets the children use they cannot be stored flat and not touch. I suggested today using thinner blankets as an option to correct this concern or to store the blankets in the clear containers used in the child’s cubby. As we talked about today you need to be able to see light for the full length of the cot between each cot. Item # 1898 all staff must complete the require health and safety training topic areas within one (1) year of employment. Topic areas can be found on the DCDEE Moodle if you choose to complete them that way. Compliance 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 February 26, 2025 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. Rated License Assessment: The application for Rated License Assessmenthas been submitted. Program Points: The program received a ECERS-R prep-year assessments on 05/08/24 and scored a 5.92 and an ITERS-R prep-year assessment on 05/14/2024 and scored a 5.27. The program follows enhanced space and ratios. For NC pre-K classroom, the program follows the staff/child ratios of seven-point level. With the given information, the program points will be 6 pts. Education points: Staff Information Sheet was submitted during the visit today. I will review each staff member’s education on WORKS and determine the points for the Education Points. Quality points: Per application “education-turnover rate” and “programmatic- curriculum, program standards” are listed under Quality Point options. Per discussion with Tabitha Justice, Education & Mental Health Coordinator, Staff Benefit Package and Infrastructure of Parent Involvement are chosen for the Quality Point option based on my advice that Head Start programs have excellent parent involvement activities and staff benefits. These are more stable options for the program to maintain. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 46 Completed Date: 2/12/2025 Age: From 1 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Jenny Hill, Administrator, during the visit. Today, Ms. Hill, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of 02-12-2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Projects, Inc. is current/active as of 02-12-2025. Permit type – Five-star Center License issued on 5-25-21. Special Services/Restrictions – Daytime care, no cooking allowed, Meets enhanced ratios and space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 02-26-24. The last fire drill was practiced on 01-16-2025. The last lockdown drill was practiced on 02-06-2025 The last playground inspection was documented on 1-16-2025. The last fire inspection was approved on 04-30-24. The last sanitation inspection was conducted on 12-12-2024 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The center’s EPR plan was last updated on 10-10-2024. 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 due to them not being completed in counties affected by Tropical Storm Helene. The classroom operates from 8:00 a.m. to 2:30 p.m. This faclity does not provide transportation. Upon arrival, I announced my presence and the purpose of the visit to Ms. Hill. I observed one (1) group of three-to-five-year-old children during afternoon snack, which consisted of apples and peanut butter. I observed one (1) group of three-to-five-year-old children playing with manipulatives at the tables and departure. I observed a group of one-to-two-year-old children during group time and preparing for lunch. I observed a group of two-to-three-year old children during lunch, which consisted of BBQ sandwiches, slaw, pears, and milk. A total of eleven (11) staff were listed on the Staff and Training Worksheet completed by Ms. Hill. I reviewed (3) new staff files and one (1) existing staff file were reviewed. Five (5) children’s files were reviewed form the NC Pre-K classroom. 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 written: Violation Number Comment Rule 209 Children used space that was not approved.During my visit the children enrolled in the wrap-around part of the program were observed being cared for in the space located beside Ms. Hill's office, which is being used for a teacher's lounge/wellness room and a storage area for extra materials such as books. This space has not been measured or approved to be used as a space to care for children. GS 110-91(1)&(4-5) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In classroom A children's blankets were stored on the child's cot in a way that caused the blanket to touch the cot above therefore, contaminating the blanket. 15A NCAC 18A .2821(a) 1898 Staff did not complete the health and safety training within one year of employment. After review of the staff and training worksheet it was noted that one (1) staff that was hired on 05/08/2023 did not complete the required health and safety training until 01/06/2025. .1102(a) Technical assistance provided: Item #209 any space used to care for children must be an approved space, meaning that it has been measured, approved by sanitation and fire, and must include all the required posted items. If this is a space you would like to have approved you will need to contact your Environmental Health Specialist and the Fire Inspector and request an inspection. Once those inspections are completed you will then contact me to come and complete my inspection, which includes measuring. Item # 0615 today I spoke with the lead teacher in classroom A about ways to store the blankets so that they do not touch the bottom of the cot above. Due to the size and the fluffiness of the blankets the children use they cannot be stored flat and not touch. I suggested today using thinner blankets as an option to correct this concern or to store the blankets in the clear containers used in the child’s cubby. As we talked about today you need to be able to see light for the full length of the cot between each cot. Item # 1898 all staff must complete the require health and safety training topic areas within one (1) year of employment. Topic areas can be found on the DCDEE Moodle if you choose to complete them that way. Compliance 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 February 26, 2025 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. Rated License Assessment: The application for Rated License Assessmenthas been submitted. Program Points: The program received a ECERS-R prep-year assessments on 05/08/24 and scored a 5.92 and an ITERS-R prep-year assessment on 05/14/2024 and scored a 5.27. The program follows enhanced space and ratios. For NC pre-K classroom, the program follows the staff/child ratios of seven-point level. With the given information, the program points will be 6 pts. Education points: Staff Information Sheet was submitted during the visit today. I will review each staff member’s education on WORKS and determine the points for the Education Points. Quality points: Per application “education-turnover rate” and “programmatic- curriculum, program standards” are listed under Quality Point options. Per discussion with Tabitha Justice, Education & Mental Health Coordinator, Staff Benefit Package and Infrastructure of Parent Involvement are chosen for the Quality Point option based on my advice that Head Start programs have excellent parent involvement activities and staff benefits. These are more stable options for the program to maintain. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 46 Completed Date: 2/12/2025 Age: From 1 To 5 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sarah Upton, Child Care Consultant and signed by Jenny Hill, Administrator, during the visit. Today, Ms. Hill, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percent as of 02-12-2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Mountain Projects, Inc. is current/active as of 02-12-2025. Permit type – Five-star Center License issued on 5-25-21. Special Services/Restrictions – Daytime care, no cooking allowed, Meets enhanced ratios and space and children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 02-26-24. The last fire drill was practiced on 01-16-2025. The last lockdown drill was practiced on 02-06-2025 The last playground inspection was documented on 1-16-2025. The last fire inspection was approved on 04-30-24. The last sanitation inspection was conducted on 12-12-2024 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The center’s EPR plan was last updated on 10-10-2024. 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 due to them not being completed in counties affected by Tropical Storm Helene. The classroom operates from 8:00 a.m. to 2:30 p.m. This faclity does not provide transportation. Upon arrival, I announced my presence and the purpose of the visit to Ms. Hill. I observed one (1) group of three-to-five-year-old children during afternoon snack, which consisted of apples and peanut butter. I observed one (1) group of three-to-five-year-old children playing with manipulatives at the tables and departure. I observed a group of one-to-two-year-old children during group time and preparing for lunch. I observed a group of two-to-three-year old children during lunch, which consisted of BBQ sandwiches, slaw, pears, and milk. A total of eleven (11) staff were listed on the Staff and Training Worksheet completed by Ms. Hill. I reviewed (3) new staff files and one (1) existing staff file were reviewed. Five (5) children’s files were reviewed form the NC Pre-K classroom. 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 written: Violation Number Comment Rule 209 Children used space that was not approved.During my visit the children enrolled in the wrap-around part of the program were observed being cared for in the space located beside Ms. Hill's office, which is being used for a teacher's lounge/wellness room and a storage area for extra materials such as books. This space has not been measured or approved to be used as a space to care for children. GS 110-91(1)&(4-5) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In classroom A children's blankets were stored on the child's cot in a way that caused the blanket to touch the cot above therefore, contaminating the blanket. 15A NCAC 18A .2821(a) 1898 Staff did not complete the health and safety training within one year of employment. After review of the staff and training worksheet it was noted that one (1) staff that was hired on 05/08/2023 did not complete the required health and safety training until 01/06/2025. .1102(a) Technical assistance provided: Item #209 any space used to care for children must be an approved space, meaning that it has been measured, approved by sanitation and fire, and must include all the required posted items. If this is a space you would like to have approved you will need to contact your Environmental Health Specialist and the Fire Inspector and request an inspection. Once those inspections are completed you will then contact me to come and complete my inspection, which includes measuring. Item # 0615 today I spoke with the lead teacher in classroom A about ways to store the blankets so that they do not touch the bottom of the cot above. Due to the size and the fluffiness of the blankets the children use they cannot be stored flat and not touch. I suggested today using thinner blankets as an option to correct this concern or to store the blankets in the clear containers used in the child’s cubby. As we talked about today you need to be able to see light for the full length of the cot between each cot. Item # 1898 all staff must complete the require health and safety training topic areas within one (1) year of employment. Topic areas can be found on the DCDEE Moodle if you choose to complete them that way. Compliance 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 February 26, 2025 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. Rated License Assessment: The application for Rated License Assessmenthas been submitted. Program Points: The program received a ECERS-R prep-year assessments on 05/08/24 and scored a 5.92 and an ITERS-R prep-year assessment on 05/14/2024 and scored a 5.27. The program follows enhanced space and ratios. For NC pre-K classroom, the program follows the staff/child ratios of seven-point level. With the given information, the program points will be 6 pts. Education points: Staff Information Sheet was submitted during the visit today. I will review each staff member’s education on WORKS and determine the points for the Education Points. Quality points: Per application “education-turnover rate” and “programmatic- curriculum, program standards” are listed under Quality Point options. Per discussion with Tabitha Justice, Education & Mental Health Coordinator, Staff Benefit Package and Infrastructure of Parent Involvement are chosen for the Quality Point option based on my advice that Head Start programs have excellent parent involvement activities and staff benefits. These are more stable options for the program to maintain. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@d If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0604 · Violation

Name of Operation: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0802 · Violation

Name of Operation: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: WAYNESVILLE HEAD START Facility ID: 44000151 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 42 Completed Date: 5/7/2024 Age: From 1 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jenny Hill, Center Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Hill accompanied me. 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-six (96) percentage as today prior to this visit. Permit type – Five-Star Center License issued on 5/25/21. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced ratios and space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 2/26/24. The last fire drill was practiced on 5/3/24. The last lockdown drill was practiced on 3/28/24. The last playground inspection was documented on 4/24/24. The last fire inspection was approved on 4/30/24. The last sanitation inspection was conducted on 4/2/24 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 9/29/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1A, a group of three-to-five-year-old children engaged in free play. The children played with blocks, manipulatives and art materials. The children cleaned up toys and transitioned to the playground. On the playground, the children played with a slide structure with tunnels, playhouse, dirt table and other gross motor accessories. No medications are maintained in the classroom. The children from space #2B played on the playground. This is an NC Pre-K classroom. A group of four-to-five-year-old children engaged in gross motor play on the playground. One (1) child is on a prescription medication. The medication is stored in a locked box, and the permission form as well as the action plans were current. The children from 3C played on the playground. The children rode riding toys, played with a sand box and portable slide structure. No hazardous products were observed. No medication or diaper creams were maintained in the classroom. In the newly renovated building, the licensed space identified as 4D is now used as a Family Advocate staff office. No children use the space. Therefore, the space will be removed from the licensed space. The space identified as 5E is not labeled as 4D. In the space, there were one-to-two-year-old children present with two (2) teachers. The children engaged in free play with blocks, large manipulatives and other toys. A diaper cream and an emergency medication is stored in this classroom. The storage of the medication, permission forms and the action plan were in compliance. The space identified as 6F is not labeled as 5E. This space is not currently in use. The playground was monitored and there are no hazardous products were found. Ten (10) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. The permit age range is one (1) to five(5) years of age, and ITS/SIDS training is not required. All staff members have current criminal background letters and CPR/First Aid certificates. Lunch was served during the visit. Today’ menu was corn dog nuggets, canned pears, roasted potato wedges, a roll and milk. The items were accurately listed on the menu. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. The monitoring tool was competed by Christy Paxton, Administrator/director of Head Start program on 10/16/23. The classroom operates from 8 a.m. to 2:30p.m. The NC Pre-K classroom is in 2B. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) of the mechanical rooms located in the hallway by space 3C was unlocked, and a container of Member's Mart Laundry Detergent was stored on the washer. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In space 3C, an incident report as old as 8/9/23 were maintained in the folder on the wall along with the incident log. In space 4D(5E), an incident report as old as 8/23/23 was maintained in the folder on the wall along with the incident log. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4D(5E), there were plastic cups with plastic wrappers being stored in the cabinet by an emergency crib. There were no devices to prohibit access from the children, such as a baby proof device. .0604(q) Technical assistance was provided as follows: 840: storage of chemicals 15A NCAC 18A .2820 STORAGE Laundry detergents shall be stored in a locked storage. Please lock the mechanical room where a washer and a detergent is stored. (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 852: Incident report Incident reports shall be stored in each child’s file. Please log each incident on the incident log and store the report in the child’s file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov 858: Easily torn plastics Easily torn plastics, such as grocery bags, Ziplock bags, plastic wrappers shall be inaccessible to the children under three (3) years of age. Please remove plastics from cups, diapers and other items before storing them in the storage, you can install baby-proof device to prohibit the children’s access, or store the items above five (5) feet or above. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/21/24. 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: Rated License cohort: Waynesville Head Start is in cohort one (1). The facility applied for the Prep-Year assessment, and the window is currently open. The last day for Head Start/NC Pre-K is 5/16/24. The last day for EHS is 6/21/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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