10A NCAC 09 .0701 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 10 Completed Date: 9/10/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Stockslager 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, CPR / First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/6/24. The last fire drill was practiced on 8/30/24. The last emergency drill, lockdown drill, was practiced on 9/3/24. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 10/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. One (1) child is currently being transported in the morning, from the parent’s place of employment to the facility. Transportation requirements were monitored today. The facility is not marked to provide transportation in the regulatory system. Upon arrival I was greeted by Sheresa Slagle, Lead Teacher. Children were observed playing outside on the playground. Children scooped and poured sand in the sandbox, engaged in pretend play with dinosaur figurines and toy busses, drew pictures on the pavement with chalk and water, and played a gross motor chasing game. Interactions were positive and nurturing. Children were actively supervised at all times. 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 cited during the visit today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a medical report on file 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a TB test/screening on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a First Aid Certificate on file appropriate for the ages of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a CPR Certificate on file appropriate for the ages of children in care .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information for one (1) child was not maintained on the vehicle used to transport. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Signed permission to transport was not on file for one (1) child that is transported to the facility in the morning. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance provided as follows: Item #1041 and #1797 The one (1) bus driver must obtain a Criminal Background Check Qualifying letter immediately. Alternatively, a qualified staff member can ride the bus in the morning with the child. We discussed you will also reach out to the parent of the child to see if other transportation arrangements are available. Refer to General Statue 110-90.2(b) for more information on this requirement. Item #1048 and #1049 The bus driver who is left alone with children must have a CPR/First Aid certificate appropriate to the ages of children in their care. We discussed most bus drivers for DPI schools typically have the K-12 certification. This is only acceptable if the Infant and Child modules are added. If you decide to continue to transport, plan to obtain a copy of the CPR/First Aid certificate and maintain in your staff files. Refer to Child Care Rule .1102(c-d) for more information on this requirement. Item #1032 and #1033 The bus driver who is left alone with children must have a medical report and TB test or screening on file. We discussed that the DOT Physicals that are required for bus drivers are acceptable for the medical report. Plan to place the bus driver on the Off-Site Records Verification form for Public Schools. This allows you to keep the medical and TB test on file with the central office. Refer to Child Care Rule .0701(a) for more information on this requirement. Item #1124 The emergency and identifying information for one (1) child was placed in a file during the visit today. Plan to include a photograph of the child. You stated that if you decide to continue transporting, you will give the file to the bus driver. Refer to Child Care Rule .1003(d) for more information on this requirement. Item #1125 The permission to transport was sent to the parents during the visit today. Plan to maintain a copy of the permission to transport in the child’s file. The permission to transport is valid for twelve (12) months for regular transportation. Refer to Child Care Rule .1003(i)(j) for more information on this requirement. 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 9/24/24. 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 P.O. 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. We discussed that you will explore several routes to achieve compliance for the violations cited during today’s visit. First, you will check with the parent of the one (1) child being transported to see if there are alternative option for their transport to the facility in the morning, and cease transportation operations. Alternatively, you will see if there is a qualified staff member who is able to ride the bus with the child in the morning. Finally, you will correct all the items stated above in order to continue transportation with the bus driver as the sole caregiver during transport. Any of these routes will bring you into compliance. In your letter of compliance, plan to document how you are meeting compliance with transportation requirements. 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: The Off-Site Verification form for Public Schools- Transportation was included in the email containing this visit summary. Please complete and maintain with your program records if you choose to continue to offer Transportation. If you continue to provide transportation, any bus drivers who are left alone with children are considered staff and must be included on the Staff and Training worksheet. A specific DPI Bus Driver Staff and Training worksheet was included in the email containing this visit summary. We discussed the fire inspection is due 9/13/24. You stated today that the public school has not notified you if the inspection has been scheduled yet. Plan to reach out to your fire marshal’s office independently, to maintain compliance for your facility. The CPR/First Aid for S. Slagle and S. Monsen will expire on 9/30/24. You stated that they have received the online portion of the training and will schedule the in-person skills portion immediately. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1003 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 10 Completed Date: 9/10/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Stockslager 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, CPR / First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/6/24. The last fire drill was practiced on 8/30/24. The last emergency drill, lockdown drill, was practiced on 9/3/24. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 10/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. One (1) child is currently being transported in the morning, from the parent’s place of employment to the facility. Transportation requirements were monitored today. The facility is not marked to provide transportation in the regulatory system. Upon arrival I was greeted by Sheresa Slagle, Lead Teacher. Children were observed playing outside on the playground. Children scooped and poured sand in the sandbox, engaged in pretend play with dinosaur figurines and toy busses, drew pictures on the pavement with chalk and water, and played a gross motor chasing game. Interactions were positive and nurturing. Children were actively supervised at all times. 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 cited during the visit today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a medical report on file 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a TB test/screening on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a First Aid Certificate on file appropriate for the ages of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a CPR Certificate on file appropriate for the ages of children in care .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information for one (1) child was not maintained on the vehicle used to transport. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Signed permission to transport was not on file for one (1) child that is transported to the facility in the morning. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance provided as follows: Item #1041 and #1797 The one (1) bus driver must obtain a Criminal Background Check Qualifying letter immediately. Alternatively, a qualified staff member can ride the bus in the morning with the child. We discussed you will also reach out to the parent of the child to see if other transportation arrangements are available. Refer to General Statue 110-90.2(b) for more information on this requirement. Item #1048 and #1049 The bus driver who is left alone with children must have a CPR/First Aid certificate appropriate to the ages of children in their care. We discussed most bus drivers for DPI schools typically have the K-12 certification. This is only acceptable if the Infant and Child modules are added. If you decide to continue to transport, plan to obtain a copy of the CPR/First Aid certificate and maintain in your staff files. Refer to Child Care Rule .1102(c-d) for more information on this requirement. Item #1032 and #1033 The bus driver who is left alone with children must have a medical report and TB test or screening on file. We discussed that the DOT Physicals that are required for bus drivers are acceptable for the medical report. Plan to place the bus driver on the Off-Site Records Verification form for Public Schools. This allows you to keep the medical and TB test on file with the central office. Refer to Child Care Rule .0701(a) for more information on this requirement. Item #1124 The emergency and identifying information for one (1) child was placed in a file during the visit today. Plan to include a photograph of the child. You stated that if you decide to continue transporting, you will give the file to the bus driver. Refer to Child Care Rule .1003(d) for more information on this requirement. Item #1125 The permission to transport was sent to the parents during the visit today. Plan to maintain a copy of the permission to transport in the child’s file. The permission to transport is valid for twelve (12) months for regular transportation. Refer to Child Care Rule .1003(i)(j) for more information on this requirement. 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 9/24/24. 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 P.O. 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. We discussed that you will explore several routes to achieve compliance for the violations cited during today’s visit. First, you will check with the parent of the one (1) child being transported to see if there are alternative option for their transport to the facility in the morning, and cease transportation operations. Alternatively, you will see if there is a qualified staff member who is able to ride the bus with the child in the morning. Finally, you will correct all the items stated above in order to continue transportation with the bus driver as the sole caregiver during transport. Any of these routes will bring you into compliance. In your letter of compliance, plan to document how you are meeting compliance with transportation requirements. 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: The Off-Site Verification form for Public Schools- Transportation was included in the email containing this visit summary. Please complete and maintain with your program records if you choose to continue to offer Transportation. If you continue to provide transportation, any bus drivers who are left alone with children are considered staff and must be included on the Staff and Training worksheet. A specific DPI Bus Driver Staff and Training worksheet was included in the email containing this visit summary. We discussed the fire inspection is due 9/13/24. You stated today that the public school has not notified you if the inspection has been scheduled yet. Plan to reach out to your fire marshal’s office independently, to maintain compliance for your facility. The CPR/First Aid for S. Slagle and S. Monsen will expire on 9/30/24. You stated that they have received the online portion of the training and will schedule the in-person skills portion immediately. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

G.S. 110-90 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 10 Completed Date: 9/10/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Stockslager 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, CPR / First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/6/24. The last fire drill was practiced on 8/30/24. The last emergency drill, lockdown drill, was practiced on 9/3/24. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 10/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. One (1) child is currently being transported in the morning, from the parent’s place of employment to the facility. Transportation requirements were monitored today. The facility is not marked to provide transportation in the regulatory system. Upon arrival I was greeted by Sheresa Slagle, Lead Teacher. Children were observed playing outside on the playground. Children scooped and poured sand in the sandbox, engaged in pretend play with dinosaur figurines and toy busses, drew pictures on the pavement with chalk and water, and played a gross motor chasing game. Interactions were positive and nurturing. Children were actively supervised at all times. 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 cited during the visit today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a medical report on file 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a TB test/screening on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a First Aid Certificate on file appropriate for the ages of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a CPR Certificate on file appropriate for the ages of children in care .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information for one (1) child was not maintained on the vehicle used to transport. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Signed permission to transport was not on file for one (1) child that is transported to the facility in the morning. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance provided as follows: Item #1041 and #1797 The one (1) bus driver must obtain a Criminal Background Check Qualifying letter immediately. Alternatively, a qualified staff member can ride the bus in the morning with the child. We discussed you will also reach out to the parent of the child to see if other transportation arrangements are available. Refer to General Statue 110-90.2(b) for more information on this requirement. Item #1048 and #1049 The bus driver who is left alone with children must have a CPR/First Aid certificate appropriate to the ages of children in their care. We discussed most bus drivers for DPI schools typically have the K-12 certification. This is only acceptable if the Infant and Child modules are added. If you decide to continue to transport, plan to obtain a copy of the CPR/First Aid certificate and maintain in your staff files. Refer to Child Care Rule .1102(c-d) for more information on this requirement. Item #1032 and #1033 The bus driver who is left alone with children must have a medical report and TB test or screening on file. We discussed that the DOT Physicals that are required for bus drivers are acceptable for the medical report. Plan to place the bus driver on the Off-Site Records Verification form for Public Schools. This allows you to keep the medical and TB test on file with the central office. Refer to Child Care Rule .0701(a) for more information on this requirement. Item #1124 The emergency and identifying information for one (1) child was placed in a file during the visit today. Plan to include a photograph of the child. You stated that if you decide to continue transporting, you will give the file to the bus driver. Refer to Child Care Rule .1003(d) for more information on this requirement. Item #1125 The permission to transport was sent to the parents during the visit today. Plan to maintain a copy of the permission to transport in the child’s file. The permission to transport is valid for twelve (12) months for regular transportation. Refer to Child Care Rule .1003(i)(j) for more information on this requirement. 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 9/24/24. 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 P.O. 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. We discussed that you will explore several routes to achieve compliance for the violations cited during today’s visit. First, you will check with the parent of the one (1) child being transported to see if there are alternative option for their transport to the facility in the morning, and cease transportation operations. Alternatively, you will see if there is a qualified staff member who is able to ride the bus with the child in the morning. Finally, you will correct all the items stated above in order to continue transportation with the bus driver as the sole caregiver during transport. Any of these routes will bring you into compliance. In your letter of compliance, plan to document how you are meeting compliance with transportation requirements. 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: The Off-Site Verification form for Public Schools- Transportation was included in the email containing this visit summary. Please complete and maintain with your program records if you choose to continue to offer Transportation. If you continue to provide transportation, any bus drivers who are left alone with children are considered staff and must be included on the Staff and Training worksheet. A specific DPI Bus Driver Staff and Training worksheet was included in the email containing this visit summary. We discussed the fire inspection is due 9/13/24. You stated today that the public school has not notified you if the inspection has been scheduled yet. Plan to reach out to your fire marshal’s office independently, to maintain compliance for your facility. The CPR/First Aid for S. Slagle and S. Monsen will expire on 9/30/24. You stated that they have received the online portion of the training and will schedule the in-person skills portion immediately. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 10 Completed Date: 9/10/2024 Age: From 3 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Stockslager 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, CPR / First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 9/6/24. The last fire drill was practiced on 8/30/24. The last emergency drill, lockdown drill, was practiced on 9/3/24. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 10/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. One (1) child is currently being transported in the morning, from the parent’s place of employment to the facility. Transportation requirements were monitored today. The facility is not marked to provide transportation in the regulatory system. Upon arrival I was greeted by Sheresa Slagle, Lead Teacher. Children were observed playing outside on the playground. Children scooped and poured sand in the sandbox, engaged in pretend play with dinosaur figurines and toy busses, drew pictures on the pavement with chalk and water, and played a gross motor chasing game. Interactions were positive and nurturing. Children were actively supervised at all times. 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 cited during the visit today: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a medical report on file 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) bus driver who is counted in ratio and left alone with children during transport did not have a TB test/screening on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a First Aid Certificate on file appropriate for the ages of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) bus driver who is counted in ratio and left alone with children during transport does not have a CPR Certificate on file appropriate for the ages of children in care .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information for one (1) child was not maintained on the vehicle used to transport. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Signed permission to transport was not on file for one (1) child that is transported to the facility in the morning. .1003(i)(j) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) bus driver does not have a Criminal Background Check Qualifying letter on file. The bus driver is counted in ratio and left alone with children in the licensed program while transporting. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance provided as follows: Item #1041 and #1797 The one (1) bus driver must obtain a Criminal Background Check Qualifying letter immediately. Alternatively, a qualified staff member can ride the bus in the morning with the child. We discussed you will also reach out to the parent of the child to see if other transportation arrangements are available. Refer to General Statue 110-90.2(b) for more information on this requirement. Item #1048 and #1049 The bus driver who is left alone with children must have a CPR/First Aid certificate appropriate to the ages of children in their care. We discussed most bus drivers for DPI schools typically have the K-12 certification. This is only acceptable if the Infant and Child modules are added. If you decide to continue to transport, plan to obtain a copy of the CPR/First Aid certificate and maintain in your staff files. Refer to Child Care Rule .1102(c-d) for more information on this requirement. Item #1032 and #1033 The bus driver who is left alone with children must have a medical report and TB test or screening on file. We discussed that the DOT Physicals that are required for bus drivers are acceptable for the medical report. Plan to place the bus driver on the Off-Site Records Verification form for Public Schools. This allows you to keep the medical and TB test on file with the central office. Refer to Child Care Rule .0701(a) for more information on this requirement. Item #1124 The emergency and identifying information for one (1) child was placed in a file during the visit today. Plan to include a photograph of the child. You stated that if you decide to continue transporting, you will give the file to the bus driver. Refer to Child Care Rule .1003(d) for more information on this requirement. Item #1125 The permission to transport was sent to the parents during the visit today. Plan to maintain a copy of the permission to transport in the child’s file. The permission to transport is valid for twelve (12) months for regular transportation. Refer to Child Care Rule .1003(i)(j) for more information on this requirement. 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 9/24/24. 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 P.O. 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. We discussed that you will explore several routes to achieve compliance for the violations cited during today’s visit. First, you will check with the parent of the one (1) child being transported to see if there are alternative option for their transport to the facility in the morning, and cease transportation operations. Alternatively, you will see if there is a qualified staff member who is able to ride the bus with the child in the morning. Finally, you will correct all the items stated above in order to continue transportation with the bus driver as the sole caregiver during transport. Any of these routes will bring you into compliance. In your letter of compliance, plan to document how you are meeting compliance with transportation requirements. 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: The Off-Site Verification form for Public Schools- Transportation was included in the email containing this visit summary. Please complete and maintain with your program records if you choose to continue to offer Transportation. If you continue to provide transportation, any bus drivers who are left alone with children are considered staff and must be included on the Staff and Training worksheet. A specific DPI Bus Driver Staff and Training worksheet was included in the email containing this visit summary. We discussed the fire inspection is due 9/13/24. You stated today that the public school has not notified you if the inspection has been scheduled yet. Plan to reach out to your fire marshal’s office independently, to maintain compliance for your facility. The CPR/First Aid for S. Slagle and S. Monsen will expire on 9/30/24. You stated that they have received the online portion of the training and will schedule the in-person skills portion immediately. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .0304 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0607 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .0701 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .0801 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .1102 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .1703 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .2830 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

NC GS 110-90 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 12 Completed Date: 4/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Caitlin Johnson, ECE Workforce Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Sheresa Slagle, Lead Teacher, was present and available to ask and answer questions throughout the visit today. Ms. Johnson arrived at approximately 10:45am. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication, 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 eighty-eight percent (88%) as of 4/1/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/12/24. The last fire drill was practiced on 3/29/24. The last lockdown drill was practiced on 3/15/24. The last playground inspection was documented on 3/29/24. The last fire inspection was approved on 9/13/23. The last sanitation inspection was conducted on 10/13/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival I was greeted by Ms. Slagle and Sue Monsen, Teacher. Children were observed in center play. Children pretended to use scarves as superpowers in dramatic play, observed beans and dinosaur bones in science, drew pictures of phones in the writing center, participated in a teacher-led Play-Doh letter activity, and participated in a teacher-led solar eclipse art collage project. I observed children prepare to transition to outdoor play. Children put on coats and lined up at the door to the playground. Caregivers conducted a head count before crossing the threshold. Interactions were positive and nurturing. Children were actively supervised at all times. Lunch today consisted of breaded fish sticks, coleslaw, applesauce and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 1/6/20, completed the Emergency Information form on 8/29/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Documentation of the EPR plan review was not on file for two (2) staff. .0607(f) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One (1) child with an EpiPen did not have an updated Medical Action Plan on file. The most recent Medical Action Plan was dated 8/29/22. .0801(b) Technical Assistance provided as follows: Item #1035 The staff member completed an Emergency Information for during the visit today. We discussed that staff can update the existing form or can indicate “no changes” with a signature and date if changes are not needed to the form. Plan to have staff review this form each year. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 The documentation of the EPR plan review was located and completed during the visit today. This was corrected. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1835 Plan to obtain an updated Medical Action Plan for the one (1) child with an EpiPen. We discussed that the rule states parents or medical professional can sign off on the form. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website 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 4/22/24. 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 P.O. 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: We discussed Legal Designee forms are needed for Ms. Johnson and Lead Teachers at all of your sites. Technical Assistance was given today on the forms. You can check the boxes on the bottom to select who can sign off on specific items. You can also use titles instead of names such as “Lead Teacher” in the designation statement. Dr. Jackson, Superintendent of Buncombe County Schools, is the Legal Representative and will need to sign these forms. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

10A NCAC 09 .0508 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 12 Completed Date: 9/28/2023 Age: From 3 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced 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 Betsie Stockslager, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/28/23. The facility is owned by Buncombe County Schools. The last fire drill was practiced on 9/5/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 11/28/22, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The program does not provide transportation. Upon arrival, I was greeted by Sheresa Slagle, Lead Teacher. Children were engaged in outdoor play activities including a child-led game of duck, duck, goose, digging and burying toys in the sand, and building small structures with interlocking blocks. Interactions were positive, supportive 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 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated for the week of 9/18/23. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Eight (8) cans of spray paint and one (1) can of aerosol adhesive spray were located in an unlocked closet. .2820(b) Technical assistance was provided as follows: Item #840 The aerosol cans were moved to a new location. The door was closed and locked. This was corrected during the visit today. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #428 The date of the activity plan was updated during the visit today. This was corrected. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Consultation is provided as follows: We discussed the Ready to Go files and requirements. Please see the rule reference below that was discussed for these requirements: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed the public school off-site verification form for children and staff files. Your current procedures are compliant with the requirements of this form. Continue to use the parent signature page for your policies that encompasses all policies and procedures. We discussed that you would like to include the adjoining classroom space to your licensed space. A fire inspection was conducted at the public school on 9/12/23. The potential licensed space was included in that inspection. Plan to reach out to the fire marshal to request the inspection information for the new space on the DCDEE form. We can accept the inspection report used for the school as long as there are no areas marked “no”. The DCDEE form is preferable. You will need a new building inspection for the new space. The Building Inspection Inspectors Form for Continued Use was provided in the email containing this visit summary. The building inspector will use this form and will indicate the rooms inspected on the floorplan. You will need an occupational sanitation inspection for this new space. Once these inspections have been completed, please send me a copy of the inspection reports. I will then schedule a visit to come measure and approve the space when ready. We discussed moving forward with the Rated License reassessment at your other sites. Please note that your other facilities are in cohort 2. Once they receive their new star rated license, they will be placed in a three year cycle. Plan to speak with your staff to determine if waiting for your cohort year will be best for your facilities. Please let me know if you plan to move forward with your Rated License reassessment and I will send you the paperwork needed to request the Environment Rating Scale. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. The quarterly update and recertification window will be open 10/2/23- 10/13/23. Plan to complete your quarterly update and recertification by 4:59pm on 10/13/23. Your facility has been placed in cohort 3. Your Prep Year is 7/1/25-6/30/26. Your reassessment year is 7/1/26-6/30/27. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0607 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 12 Completed Date: 9/28/2023 Age: From 3 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced 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 Betsie Stockslager, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/28/23. The facility is owned by Buncombe County Schools. The last fire drill was practiced on 9/5/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 11/28/22, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The program does not provide transportation. Upon arrival, I was greeted by Sheresa Slagle, Lead Teacher. Children were engaged in outdoor play activities including a child-led game of duck, duck, goose, digging and burying toys in the sand, and building small structures with interlocking blocks. Interactions were positive, supportive 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 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated for the week of 9/18/23. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Eight (8) cans of spray paint and one (1) can of aerosol adhesive spray were located in an unlocked closet. .2820(b) Technical assistance was provided as follows: Item #840 The aerosol cans were moved to a new location. The door was closed and locked. This was corrected during the visit today. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #428 The date of the activity plan was updated during the visit today. This was corrected. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Consultation is provided as follows: We discussed the Ready to Go files and requirements. Please see the rule reference below that was discussed for these requirements: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed the public school off-site verification form for children and staff files. Your current procedures are compliant with the requirements of this form. Continue to use the parent signature page for your policies that encompasses all policies and procedures. We discussed that you would like to include the adjoining classroom space to your licensed space. A fire inspection was conducted at the public school on 9/12/23. The potential licensed space was included in that inspection. Plan to reach out to the fire marshal to request the inspection information for the new space on the DCDEE form. We can accept the inspection report used for the school as long as there are no areas marked “no”. The DCDEE form is preferable. You will need a new building inspection for the new space. The Building Inspection Inspectors Form for Continued Use was provided in the email containing this visit summary. The building inspector will use this form and will indicate the rooms inspected on the floorplan. You will need an occupational sanitation inspection for this new space. Once these inspections have been completed, please send me a copy of the inspection reports. I will then schedule a visit to come measure and approve the space when ready. We discussed moving forward with the Rated License reassessment at your other sites. Please note that your other facilities are in cohort 2. Once they receive their new star rated license, they will be placed in a three year cycle. Plan to speak with your staff to determine if waiting for your cohort year will be best for your facilities. Please let me know if you plan to move forward with your Rated License reassessment and I will send you the paperwork needed to request the Environment Rating Scale. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. The quarterly update and recertification window will be open 10/2/23- 10/13/23. Plan to complete your quarterly update and recertification by 4:59pm on 10/13/23. Your facility has been placed in cohort 3. Your Prep Year is 7/1/25-6/30/26. Your reassessment year is 7/1/26-6/30/27. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

GS 110-91 · Violation

Name of Operation: North Buncombe High School Learning Lab Facility ID: 11000911 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 12 Completed Date: 9/28/2023 Age: From 3 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced 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 Betsie Stockslager, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/28/23. The facility is owned by Buncombe County Schools. The last fire drill was practiced on 9/5/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/13/23. The program’s most recent sanitation inspection was completed on 11/28/22, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/19/23. The program does not provide transportation. Upon arrival, I was greeted by Sheresa Slagle, Lead Teacher. Children were engaged in outdoor play activities including a child-led game of duck, duck, goose, digging and burying toys in the sand, and building small structures with interlocking blocks. Interactions were positive, supportive 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 428 A current activity plan was not posted for each group of children for reference. The posted activity plan was dated for the week of 9/18/23. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Eight (8) cans of spray paint and one (1) can of aerosol adhesive spray were located in an unlocked closet. .2820(b) Technical assistance was provided as follows: Item #840 The aerosol cans were moved to a new location. The door was closed and locked. This was corrected during the visit today. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item #428 The date of the activity plan was updated during the visit today. This was corrected. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Consultation is provided as follows: We discussed the Ready to Go files and requirements. Please see the rule reference below that was discussed for these requirements: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. We discussed the public school off-site verification form for children and staff files. Your current procedures are compliant with the requirements of this form. Continue to use the parent signature page for your policies that encompasses all policies and procedures. We discussed that you would like to include the adjoining classroom space to your licensed space. A fire inspection was conducted at the public school on 9/12/23. The potential licensed space was included in that inspection. Plan to reach out to the fire marshal to request the inspection information for the new space on the DCDEE form. We can accept the inspection report used for the school as long as there are no areas marked “no”. The DCDEE form is preferable. You will need a new building inspection for the new space. The Building Inspection Inspectors Form for Continued Use was provided in the email containing this visit summary. The building inspector will use this form and will indicate the rooms inspected on the floorplan. You will need an occupational sanitation inspection for this new space. Once these inspections have been completed, please send me a copy of the inspection reports. I will then schedule a visit to come measure and approve the space when ready. We discussed moving forward with the Rated License reassessment at your other sites. Please note that your other facilities are in cohort 2. Once they receive their new star rated license, they will be placed in a three year cycle. Plan to speak with your staff to determine if waiting for your cohort year will be best for your facilities. Please let me know if you plan to move forward with your Rated License reassessment and I will send you the paperwork needed to request the Environment Rating Scale. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. The quarterly update and recertification window will be open 10/2/23- 10/13/23. Plan to complete your quarterly update and recertification by 4:59pm on 10/13/23. Your facility has been placed in cohort 3. Your Prep Year is 7/1/25-6/30/26. Your reassessment year is 7/1/26-6/30/27. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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