10A NCAC 09 .1102 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .1703 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .2830 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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.

G.S. 110-102 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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.

G.S. 110-90 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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.

GS 110-102 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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.

NC GS 110-90 · Violation

Name of Operation: NORTH BUNCOMBE ELEMENTARY SCHOOL HEAD START Facility ID: 11000397 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 12 Completed Date: 5/15/2025 Age: From 3 To 5 Total Minutes: 170 Time In: 09:40 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lorraine Riddle, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Riddle was present and available to ask and answer questions throughout the visit today. 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-five percent (95%) as of 5/13/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/13/25. Permit type – Five (5) star license issued 5/28/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The facility is approved to provide NC Pre-K, Head Start, and transportation. The facility serves children with special needs. The last annual compliance visit was conducted on 5/23/24. The last fire drill was practiced on 5/9/25. The last shelter-in-place drill was practiced on 4/25/25. The last playground inspection was documented on 5/1/25. The last fire inspection was approved on 2/7/25. The last sanitation inspection was conducted on 8/30/24 with zero (0) 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 approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 5/21/24 without hazards. Lead paint and asbestos testing was completed on 8/13/24. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. Vehicles are maintained off site. Transportation monitoring will occur at a later date for all Community Action Opportunities vehicles. 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 Topical Storm Helene, Sit Monitoring Tools are not required for the 2024-2025 school year. One (1) NC Pre-K child’s files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Upon arrival I was greeted by Crystal Alexander, Lead Teacher, and Brenda Hyatt, Teacher. Children were in the outdoor learning environment. Children push toy lawn mowers, rode tricycles and cars, climbed on a climber and dug dirt and filled various bottles. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child's file did not include an acknowledgement of receipt of the NC Child Care Law. GS 110-102 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The siding was splintering on two (2) corners of the shed on the playground. 15A NCAC 18A .2825(a) 853 Incident logs were not completed and maintained as required. Two (2) incidents were not documented on the incident log. .0802(g)(1-6) Technical assistance was provided as follows: Item #114: According to G.S. 110-102, parents must sign a statement indicating they have received a copy of the NC Child Care Law. This statement must be obtained prior to the child’s date of enrollment. We discussed the Parent Orientation Checklist is where this acknowledgement is usually located, however, the checklist was recently revised to remove this acknowledgement. We discussed the parent can sign the copy of the Summary of the Law given to you today to reach compliance. Item #620 The sharp areas of the shed were covered with tape to prevent child access as a temporary compliance solution. We discussed a permanent compliance solution is needed. You stated you will place a work order to have the splintered siding replaced or repaired. Please send confirmation that the work has been completed. Please note, a follow up visit may be conducted if permanent compliance solution is not reached. This has been marked corrected. Item #853: The incident log was completed during the visit today. This has been marked corrected. Each incident report must be documented on the incident log, moving forward. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff BH must complete all Health and Safety Training topic areas between 6/26/25 and 6/29/25 except for “Recognizing and reporting child abuse, child neglect, and child maltreatment” and “Administration of medication, with standards for parental consent”. As a reminder, each topic area must be completed every five years according to rule .1103 (b). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Child Maltreatment Training: 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. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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.