10A NCAC 09 .0304 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 49 Completed Date: 11/20/2025 Age: From 1 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:00 AM Time In: 01:30 PM Time Out: 03:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Catherine Greene Associate Head of School/Director of SMS Preschool. Your program currently operates with a Two-Star license effective 6/10/2025. Restrictions include daytime care, no cooking allowed, and meets enhanced space. The NC Secretary of State website was reviewed on 11/19/2025 and Salem Montessori School, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, in routine care , and in gross motor play outdoors. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/10/2025. A fire drill was recorded 10/29/2025. An emergency drill was not recorded for this school year. The most recent fire inspection was on 10/28/2024. I observed a sanitation inspection was last conducted on 3/17/2025 earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted October 2024. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older.In Space 3, there were five(5) one-year-old children, three(3) two-year-old children, and four(4) three-year-old children grouped together. 10A NCAC 09 .0713(a)(6) 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 new staff member did not complete the first aid from approved organization. .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 new staff member did not complete CPR from approved training organization within 90 days. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. No emergency drills had been conducted since school started in September 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was between 1 and 2 inches out of the required 6 inches under the stationary equipment on the toddler playground. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff person did not complete the training within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 4, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to jennifer.davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. A follow-up visit will be conducted. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Please review Child Care Rule .0713 and maintain the following: (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; • Shelter-in-place or lockdown drills must be conducted every three months. • Six inches of mulch in the fall zones are required to be maintained under the stationary equipment . • Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Begun in February 2023, the Child Care Commission’s work to modernize North Carolina’s QRIS is now complete. Pathways to the Stars, Section .3200, Standards for Two through Five Star Rated Licenses became effective July 1, 2025. Informed by national research, trends and outcomes, and input from more than 1,800 NC early childhood education professionals, Pathways to the Stars incorporates recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updating education standards for early childhood educators to expand options; and • Adding standards for both educators and facilities that support continuous quality improvement and family/community engagement and leadership best practices. DCDEE has updated the Child Care Rule Rollout Course in DCDEE Moodle to include the July 2025 New Rule/Rule Amendments Overview covering the new QRIS Modernization rules. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3 — also known as the "Threes" will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP). Due to a special event at the facility today, I conducted a walk-through and came back to look at new staff files after the event. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0713 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 49 Completed Date: 11/20/2025 Age: From 1 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:00 AM Time In: 01:30 PM Time Out: 03:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Catherine Greene Associate Head of School/Director of SMS Preschool. Your program currently operates with a Two-Star license effective 6/10/2025. Restrictions include daytime care, no cooking allowed, and meets enhanced space. The NC Secretary of State website was reviewed on 11/19/2025 and Salem Montessori School, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, in routine care , and in gross motor play outdoors. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/10/2025. A fire drill was recorded 10/29/2025. An emergency drill was not recorded for this school year. The most recent fire inspection was on 10/28/2024. I observed a sanitation inspection was last conducted on 3/17/2025 earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted October 2024. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older.In Space 3, there were five(5) one-year-old children, three(3) two-year-old children, and four(4) three-year-old children grouped together. 10A NCAC 09 .0713(a)(6) 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 new staff member did not complete the first aid from approved organization. .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 new staff member did not complete CPR from approved training organization within 90 days. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. No emergency drills had been conducted since school started in September 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was between 1 and 2 inches out of the required 6 inches under the stationary equipment on the toddler playground. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff person did not complete the training within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 4, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to jennifer.davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. A follow-up visit will be conducted. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Please review Child Care Rule .0713 and maintain the following: (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; • Shelter-in-place or lockdown drills must be conducted every three months. • Six inches of mulch in the fall zones are required to be maintained under the stationary equipment . • Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Begun in February 2023, the Child Care Commission’s work to modernize North Carolina’s QRIS is now complete. Pathways to the Stars, Section .3200, Standards for Two through Five Star Rated Licenses became effective July 1, 2025. Informed by national research, trends and outcomes, and input from more than 1,800 NC early childhood education professionals, Pathways to the Stars incorporates recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updating education standards for early childhood educators to expand options; and • Adding standards for both educators and facilities that support continuous quality improvement and family/community engagement and leadership best practices. DCDEE has updated the Child Care Rule Rollout Course in DCDEE Moodle to include the July 2025 New Rule/Rule Amendments Overview covering the new QRIS Modernization rules. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3 — also known as the "Threes" will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP). Due to a special event at the facility today, I conducted a walk-through and came back to look at new staff files after the event. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 49 Completed Date: 11/20/2025 Age: From 1 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:00 AM Time In: 01:30 PM Time Out: 03:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Catherine Greene Associate Head of School/Director of SMS Preschool. Your program currently operates with a Two-Star license effective 6/10/2025. Restrictions include daytime care, no cooking allowed, and meets enhanced space. The NC Secretary of State website was reviewed on 11/19/2025 and Salem Montessori School, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, in routine care , and in gross motor play outdoors. Three new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/10/2025. A fire drill was recorded 10/29/2025. An emergency drill was not recorded for this school year. The most recent fire inspection was on 10/28/2024. I observed a sanitation inspection was last conducted on 3/17/2025 earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted October 2024. 10A NCAC 09 .0304(a) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older.In Space 3, there were five(5) one-year-old children, three(3) two-year-old children, and four(4) three-year-old children grouped together. 10A NCAC 09 .0713(a)(6) 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 new staff member did not complete the first aid from approved organization. .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 new staff member did not complete CPR from approved training organization within 90 days. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. No emergency drills had been conducted since school started in September 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch was between 1 and 2 inches out of the required 6 inches under the stationary equipment on the toddler playground. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff person did not complete the training within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 4, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to jennifer.davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. A follow-up visit will be conducted. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Please review Child Care Rule .0713 and maintain the following: (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age; • Shelter-in-place or lockdown drills must be conducted every three months. • Six inches of mulch in the fall zones are required to be maintained under the stationary equipment . • Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Begun in February 2023, the Child Care Commission’s work to modernize North Carolina’s QRIS is now complete. Pathways to the Stars, Section .3200, Standards for Two through Five Star Rated Licenses became effective July 1, 2025. Informed by national research, trends and outcomes, and input from more than 1,800 NC early childhood education professionals, Pathways to the Stars incorporates recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updating education standards for early childhood educators to expand options; and • Adding standards for both educators and facilities that support continuous quality improvement and family/community engagement and leadership best practices. DCDEE has updated the Child Care Rule Rollout Course in DCDEE Moodle to include the July 2025 New Rule/Rule Amendments Overview covering the new QRIS Modernization rules. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3 — also known as the "Threes" will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP). Due to a special event at the facility today, I conducted a walk-through and came back to look at new staff files after the event. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 53 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Catherine Greene, Associate Head of School/Director of SMS Preschool. Your program currently operates with a Three Star license. Restrictions include daytime care, no cooking allowed, meets enhanced space and ratios. The license was observed. There were two classroom spaces that did not meet the enhanced maximum group size for children ages 3 to 5 years. This was corrected during the visit. The NC Secretary of State website was reviewed on 5/20/2025 and Salem Montessori School, Inc. was listed as current and active. The last annual compliance visit was conducted 9/10/2024. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children outside in gross motor play and in routine care. I observed materials and activities that were available to the children in the classrooms. A sanitation inspection was completed 3/17/2025 with a Superior classification. The last fire inspection was conducted 10/28/2024. Program records and required postings were monitored. The last fire drill was conducted 5/16/2025. The last playground inspection was conducted 3/25/2025. The last emergency drill was conducted on 3/25/2025. The school will not operate from May 23, 2025 until 9/2/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for topical ointments/sunscreens. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The handrail on a piece of climbing equipment on the toddler playground was 3 1/2 inches between rails. .0605(g) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets in Space 1 and Space 2 were not covered. 10A NCAC 09 .0604(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident reports did not include all the information required in rule. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Three plastic bags were accessible in Space 3. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 1 and Space 2, there was a group size of 21 children for children ages 3 to 5 yrs. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Two staff members did not have a copy of their qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured between 3 to 4 inches around stationary equipment on the toddler and Children's House playgrounds. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/3/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to jennifer.davis@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The permit restrictions for this facility include enhanced staff/child ratios/group sizes and enhanced space. The ratios and group sizes should be followed for the youngest age child in the classroom space. For enhanced staff/child ratios, the maximum group size for children age 3 to 4 years is 20. •Plastic bags should not be accessible for children under three years of age. •Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment.All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. •A copy of the qualification letter for each staff member is required to be on file. • The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1)facility identifying information;(2)the child's name;(3)date and time of the incident;(4)witness to the incident;(5)time the parent is notified of the incident and by whom;(6)piece of equipment involved, if applicable;(7)cause of injury, if applicable;(8)type of injury, if applicable;(9)body part injured, if applicable;(10)where the child received medical treatment, if applicable;(11)description of how and where the incident occurred, and the First Aid received; and(12)steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a faThe North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a facility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals.cility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals. • There is a new piece of climbing equipment on the toddler playground. Ms. Greene stated that they are currently not using the equipment. Six inches of mulch needs to be met in the fall zone around the equipment. Additionally, the handrail will need to be modified to prevent entrapment risks. • For topical ointments, be sure that the name of the sunscreen or diaper cream is included on the permision. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant jennifer.davis@dhhs.nc.gov 336-317-5041 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .2818 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 53 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Catherine Greene, Associate Head of School/Director of SMS Preschool. Your program currently operates with a Three Star license. Restrictions include daytime care, no cooking allowed, meets enhanced space and ratios. The license was observed. There were two classroom spaces that did not meet the enhanced maximum group size for children ages 3 to 5 years. This was corrected during the visit. The NC Secretary of State website was reviewed on 5/20/2025 and Salem Montessori School, Inc. was listed as current and active. The last annual compliance visit was conducted 9/10/2024. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children outside in gross motor play and in routine care. I observed materials and activities that were available to the children in the classrooms. A sanitation inspection was completed 3/17/2025 with a Superior classification. The last fire inspection was conducted 10/28/2024. Program records and required postings were monitored. The last fire drill was conducted 5/16/2025. The last playground inspection was conducted 3/25/2025. The last emergency drill was conducted on 3/25/2025. The school will not operate from May 23, 2025 until 9/2/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for topical ointments/sunscreens. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The handrail on a piece of climbing equipment on the toddler playground was 3 1/2 inches between rails. .0605(g) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets in Space 1 and Space 2 were not covered. 10A NCAC 09 .0604(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident reports did not include all the information required in rule. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Three plastic bags were accessible in Space 3. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 1 and Space 2, there was a group size of 21 children for children ages 3 to 5 yrs. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Two staff members did not have a copy of their qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured between 3 to 4 inches around stationary equipment on the toddler and Children's House playgrounds. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/3/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to jennifer.davis@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The permit restrictions for this facility include enhanced staff/child ratios/group sizes and enhanced space. The ratios and group sizes should be followed for the youngest age child in the classroom space. For enhanced staff/child ratios, the maximum group size for children age 3 to 4 years is 20. •Plastic bags should not be accessible for children under three years of age. •Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment.All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. •A copy of the qualification letter for each staff member is required to be on file. • The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1)facility identifying information;(2)the child's name;(3)date and time of the incident;(4)witness to the incident;(5)time the parent is notified of the incident and by whom;(6)piece of equipment involved, if applicable;(7)cause of injury, if applicable;(8)type of injury, if applicable;(9)body part injured, if applicable;(10)where the child received medical treatment, if applicable;(11)description of how and where the incident occurred, and the First Aid received; and(12)steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a faThe North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a facility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals.cility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals. • There is a new piece of climbing equipment on the toddler playground. Ms. Greene stated that they are currently not using the equipment. Six inches of mulch needs to be met in the fall zone around the equipment. Additionally, the handrail will need to be modified to prevent entrapment risks. • For topical ointments, be sure that the name of the sunscreen or diaper cream is included on the permision. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant jennifer.davis@dhhs.nc.gov 336-317-5041 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 53 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Catherine Greene, Associate Head of School/Director of SMS Preschool. Your program currently operates with a Three Star license. Restrictions include daytime care, no cooking allowed, meets enhanced space and ratios. The license was observed. There were two classroom spaces that did not meet the enhanced maximum group size for children ages 3 to 5 years. This was corrected during the visit. The NC Secretary of State website was reviewed on 5/20/2025 and Salem Montessori School, Inc. was listed as current and active. The last annual compliance visit was conducted 9/10/2024. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children outside in gross motor play and in routine care. I observed materials and activities that were available to the children in the classrooms. A sanitation inspection was completed 3/17/2025 with a Superior classification. The last fire inspection was conducted 10/28/2024. Program records and required postings were monitored. The last fire drill was conducted 5/16/2025. The last playground inspection was conducted 3/25/2025. The last emergency drill was conducted on 3/25/2025. The school will not operate from May 23, 2025 until 9/2/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for topical ointments/sunscreens. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The handrail on a piece of climbing equipment on the toddler playground was 3 1/2 inches between rails. .0605(g) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets in Space 1 and Space 2 were not covered. 10A NCAC 09 .0604(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident reports did not include all the information required in rule. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Three plastic bags were accessible in Space 3. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 1 and Space 2, there was a group size of 21 children for children ages 3 to 5 yrs. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Two staff members did not have a copy of their qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured between 3 to 4 inches around stationary equipment on the toddler and Children's House playgrounds. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/3/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to jennifer.davis@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The permit restrictions for this facility include enhanced staff/child ratios/group sizes and enhanced space. The ratios and group sizes should be followed for the youngest age child in the classroom space. For enhanced staff/child ratios, the maximum group size for children age 3 to 4 years is 20. •Plastic bags should not be accessible for children under three years of age. •Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment.All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. •A copy of the qualification letter for each staff member is required to be on file. • The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1)facility identifying information;(2)the child's name;(3)date and time of the incident;(4)witness to the incident;(5)time the parent is notified of the incident and by whom;(6)piece of equipment involved, if applicable;(7)cause of injury, if applicable;(8)type of injury, if applicable;(9)body part injured, if applicable;(10)where the child received medical treatment, if applicable;(11)description of how and where the incident occurred, and the First Aid received; and(12)steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a faThe North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a facility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals.cility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals. • There is a new piece of climbing equipment on the toddler playground. Ms. Greene stated that they are currently not using the equipment. Six inches of mulch needs to be met in the fall zone around the equipment. Additionally, the handrail will need to be modified to prevent entrapment risks. • For topical ointments, be sure that the name of the sunscreen or diaper cream is included on the permision. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant jennifer.davis@dhhs.nc.gov 336-317-5041 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 53 Completed Date: 5/20/2025 Age: From 2 To 5 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Catherine Greene, Associate Head of School/Director of SMS Preschool. Your program currently operates with a Three Star license. Restrictions include daytime care, no cooking allowed, meets enhanced space and ratios. The license was observed. There were two classroom spaces that did not meet the enhanced maximum group size for children ages 3 to 5 years. This was corrected during the visit. The NC Secretary of State website was reviewed on 5/20/2025 and Salem Montessori School, Inc. was listed as current and active. The last annual compliance visit was conducted 9/10/2024. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children outside in gross motor play and in routine care. I observed materials and activities that were available to the children in the classrooms. A sanitation inspection was completed 3/17/2025 with a Superior classification. The last fire inspection was conducted 10/28/2024. Program records and required postings were monitored. The last fire drill was conducted 5/16/2025. The last playground inspection was conducted 3/25/2025. The last emergency drill was conducted on 3/25/2025. The school will not operate from May 23, 2025 until 9/2/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for topical ointments/sunscreens. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The handrail on a piece of climbing equipment on the toddler playground was 3 1/2 inches between rails. .0605(g) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets in Space 1 and Space 2 were not covered. 10A NCAC 09 .0604(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident reports did not include all the information required in rule. .0802 (e) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Three plastic bags were accessible in Space 3. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 1 and Space 2, there was a group size of 21 children for children ages 3 to 5 yrs. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Two staff members did not have a copy of their qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured between 3 to 4 inches around stationary equipment on the toddler and Children's House playgrounds. .0605(k)(1-4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/3/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to jennifer.davis@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The permit restrictions for this facility include enhanced staff/child ratios/group sizes and enhanced space. The ratios and group sizes should be followed for the youngest age child in the classroom space. For enhanced staff/child ratios, the maximum group size for children age 3 to 4 years is 20. •Plastic bags should not be accessible for children under three years of age. •Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment.All stationary outdoor equipment more than 18 inches high shall be installed over protective surfacing. •A copy of the qualification letter for each staff member is required to be on file. • The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1)facility identifying information;(2)the child's name;(3)date and time of the incident;(4)witness to the incident;(5)time the parent is notified of the incident and by whom;(6)piece of equipment involved, if applicable;(7)cause of injury, if applicable;(8)type of injury, if applicable;(9)body part injured, if applicable;(10)where the child received medical treatment, if applicable;(11)description of how and where the incident occurred, and the First Aid received; and(12)steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Additional Information: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a faThe North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a facility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals.cility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals. • There is a new piece of climbing equipment on the toddler playground. Ms. Greene stated that they are currently not using the equipment. Six inches of mulch needs to be met in the fall zone around the equipment. Additionally, the handrail will need to be modified to prevent entrapment risks. • For topical ointments, be sure that the name of the sunscreen or diaper cream is included on the permision. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant jennifer.davis@dhhs.nc.gov 336-317-5041 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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. 110-99 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 53 Completed Date: 9/10/2024 Age: From 2 To 5 Total Minutes: 295 Time In: 08:50 AM Time Out: 01:00 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity. Your program currently operates with a Three Star license. Restrictions include daytime care, no cooking allowed, meets enhanced space and ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 9/9/2024 and Salem Montessori School, Inc. was listed as current and active. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children outside in gross motor play and in routine care. I observed materials and activities that were available to the children in the classrooms. A sanitation inspection was completed 4/25/2024 with a Superior classification. The last fire inspection was conducted 4/19/2024. Program records and required postings were monitored. Fire drills, playground and emergency drills were current. The school was not open June-August. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for topical ointments/sunscreens. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. G.S. 110-99(a1) 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. In Space 1, one bottle of dish detergent with warning labels was accessible under the sink. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Nine(9) staff members did not complete the required number of in-service training hours. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Eleven(11) staff did not complete the health and safety training within one year of employment. .1102(a) 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. Violations were corrected during the visit today. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The license must be posted in a prominent place at all times. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •Health and safety trainings are required to be completed within the first year of employment and need to be completed every five years. • Annual in-service training hours are determined by the evaluation in WORKS. • You will need to contact me on Monday, 9/16/2024 to update me regarding staff training. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant jennifer.davis@dhhs.nc.gov 336-317-5041 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 53 Completed Date: 9/10/2024 Age: From 2 To 5 Total Minutes: 295 Time In: 08:50 AM Time Out: 01:00 PM Time In: 03:15 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Jennifer Davis, childcare consultant with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity. Your program currently operates with a Three Star license. Restrictions include daytime care, no cooking allowed, meets enhanced space and ratios. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 9/9/2024 and Salem Montessori School, Inc. was listed as current and active. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children outside in gross motor play and in routine care. I observed materials and activities that were available to the children in the classrooms. A sanitation inspection was completed 4/25/2024 with a Superior classification. The last fire inspection was conducted 4/19/2024. Program records and required postings were monitored. Fire drills, playground and emergency drills were current. The school was not open June-August. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored for topical ointments/sunscreens. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. G.S. 110-99(a1) 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. In Space 1, one bottle of dish detergent with warning labels was accessible under the sink. .2820(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Nine(9) staff members did not complete the required number of in-service training hours. .1103(a) 1898 Staff did not complete the health and safety training within one year of employment. Eleven(11) staff did not complete the health and safety training within one year of employment. .1102(a) 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. Violations were corrected during the visit today. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The license must be posted in a prominent place at all times. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. •Health and safety trainings are required to be completed within the first year of employment and need to be completed every five years. • Annual in-service training hours are determined by the evaluation in WORKS. • You will need to contact me on Monday, 9/16/2024 to update me regarding staff training. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant jennifer.davis@dhhs.nc.gov 336-317-5041 Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0302 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 53 Completed Date: 1/8/2024 Age: From 1 To 5 Total Minutes: 263 Time In: 09:45 AM Time Out: 02:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on November 30, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. All designated indoor and outdoor spaces for child care were monitored, as well as all staff files and a percentage of enrolled children’s files. All program records and documents required to be posted were monitored. The facility does not provide transportation. Meals, snacks, and beverages are provided by parents and are eaten by children in their classrooms. During today’s visit children present were observed to be engaged in free choice, outdoor play, lunch, and nap. The following violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Children and Staff files were not maintained with documents accessible for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for all children in care. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by January 22, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. During today’s visit we again discussed the Rated License Assessment Process and the Environment Rating Scale Assessment. The application for a Star Rated License Assessment and Request for an Environment Rating Scale Assessment was received from Ms. Greene and the assessment will be requested following today's visit. You should prepare for the ERS Assessment by reviewing the Early Childhood Environment Rating Scale (revised edition) booklets, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos and participate in the free online training. For technical assistance in preparing for the Environment Rating Scale Assessment, you may also contact your local resource and referral agency at: Smart Start of Forsyth County 7820 North Point Blvd #200 Winston-Salem, NC 27106 336-725-6011 https://smartstart-fc.org Your Temporary License will expire on March 14, 2024, and in order to continue to operate you must be issued a star rated license. Technical Assistance: A file staff and children’s file audit is recommended, using the checklist available for each type of file on the DCDEE website. Ensure that all required documents are on file, or if the document is digital that the information is accessible for review for each staff member and or enrolled child. Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. A summary of today’s visit was reviewed with and provided to Ms. Greene. Ms. Greene was given the opportunity to ask any questions. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 1/8/2024 Number Present: 53 Completed Date: 1/8/2024 Age: From 1 To 5 Total Minutes: 263 Time In: 09:45 AM Time Out: 02:08 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on November 30, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. All designated indoor and outdoor spaces for child care were monitored, as well as all staff files and a percentage of enrolled children’s files. All program records and documents required to be posted were monitored. The facility does not provide transportation. Meals, snacks, and beverages are provided by parents and are eaten by children in their classrooms. During today’s visit children present were observed to be engaged in free choice, outdoor play, lunch, and nap. The following violations were cited today: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. Children and Staff files were not maintained with documents accessible for review. G.S. 110-91(9); .0304(g); .2318 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for all children in care. 10A NCAC 09 .0302(d)(4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by January 22, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. During today’s visit we again discussed the Rated License Assessment Process and the Environment Rating Scale Assessment. The application for a Star Rated License Assessment and Request for an Environment Rating Scale Assessment was received from Ms. Greene and the assessment will be requested following today's visit. You should prepare for the ERS Assessment by reviewing the Early Childhood Environment Rating Scale (revised edition) booklets, visit the North Carolina Rated License Assessment Project website at www.ncrlap.org and review resource guides/additional notes/ informational videos and participate in the free online training. For technical assistance in preparing for the Environment Rating Scale Assessment, you may also contact your local resource and referral agency at: Smart Start of Forsyth County 7820 North Point Blvd #200 Winston-Salem, NC 27106 336-725-6011 https://smartstart-fc.org Your Temporary License will expire on March 14, 2024, and in order to continue to operate you must be issued a star rated license. Technical Assistance: A file staff and children’s file audit is recommended, using the checklist available for each type of file on the DCDEE website. Ensure that all required documents are on file, or if the document is digital that the information is accessible for review for each staff member and or enrolled child. Visit the DCDEE website at https://ncchildcare.ncdhhs.gov. From the home screen, hover your cursor over the “Provider” tab at the top of the page, from the drop down options hover over “Training and Professional Development” and lastly select (click on) “DCDEE Moodle” from the option menu to your right. Login to Moodle using your NCID username and password. From the carousel of pictures at the top of the page, select “View Early Childhood Professional Development.” Then select “Regulatory” and finally select “Child Care Rule Rollout” as a way to become more familiar with child care center rules. Also, on the DCDEE website home page, under the “Provider” tab, you can select “Child Care Rules” and on the next page select “Chapter 9- Child Care Rules.” You should download the rules for easier access. When needing to review a rule for quick reference you can use the keyboard keys “Ctrl” + “F” at the same time to prompt a search bar to appear and you can enter keywords for any rule. The keywords are then highlighted throughout the rules, and you can navigate through them using the up and down arrows. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. A summary of today’s visit was reviewed with and provided to Ms. Greene. Ms. Greene was given the opportunity to ask any questions. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 46 Completed Date: 10/11/2023 Age: From 1 To 4 Total Minutes: 133 Time In: 10:10 AM Time Out: 12:23 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Provisional License, issued on September 14, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently three classrooms are in operation with children ages one, three, four and five years old. During today’s visit, one additional classroom was measured and approved for use. Two classrooms were monitored during today’s visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. The playground is located to the right of the facility, is surfaced by mulch and grass, and is enclosed by approved fencing exceeding four feet. A large stage/open platform provides shade. Meals and snacks are provided by the parents of enrolled children and the facility is not approved for cooking. Children eat all meals and snacks in the classrooms. Some children attend the facility for preschool from 9:00a.m. to 12:00p.m. and some children attend from 8:30a.m. to 5:00p.m. The facility does not provide transportation. During today’s visit children present were observed to be engaged in outdoor play, free choice activities, and personal care routines. The Corrective Action Plan Items from the Administrative Action issued to Salem Montessori School, Inc., were also monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Patrick Velde, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated September 7, 2023. The equivalent protection plan required by the building inspector remains in effect. Push paddles for corridor doors have been installed and work on corridor wall is scheduled to begin October 27, 2023, through November 3, 2023, while children are not in care. We reviewed that a new Building Inspection must be submitted to Ms. Childress once all the work is complete. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity Plans were not posted for all ages of children in care. GS 110-91(12); .0508(a) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). Only one page of the Administrative Action was posted. 10A NCAC 09 .2201(i)(1-4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 25, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. The type of Star Rated License issued to your program will result from the points earned in the Program Component (can include an overall score from the ERS Assessments, meeting enhanced ratios and/or space requirements), Staff Education, and a Quality Point. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Ms. Greene stated that the facility will not request an Environment Rating Scale Assessment. An application for the rated license assessment and a quality point form will be emailed to Ms. Greene following today’s visit. Technical Assistance and/or Consultation was provided during today’s visit on the following: Posting of Administrative Action During today’s visit the first page only of the Administrative Action was posted. We reviewed the cover letter that was included in the Administrative Action which stated “Immediately after this Notice of Administrative Action is received, you must post the administrative action, cover letter, and Corrective Action Plan, and the enclosed license in a location visible to parents and visitors near the entrance of the child care facility. This includes administrative actions that are appealed.” Activity Plans and Daily Schedules Activity plans were not posted for each group of children in care. Child Care rules 10A NCAC 09 .0508 and .0510 were reviewed during the visit. We also reviewed the five developmental domains in accordance with North Carolina Foundations for Early Learning and Development and Ms. Greene agreed that these domains also align with Montessori instruction. Ms. Greene explained and showed Ms. Childress during monitoring how one activity center continued and expanded into each of the other activity areas. All required activity areas by child care rules were represented (art and other creative play, children’s books, blocks and building, manipulatives, and family living/dramatic play) and materials and opportunities for music and rhythm, science and nature, and sand occur daily. We discussed adding in water play weekly, or daily and ways to incorporate water play. There are no documented or specific theme based activity plans for each group of children. Based upon Montessori curriculum and instruction, the sample activity plans on the DCDEE website under Provider Documents and Forms may not be helpful. Ms. Greene stated that she could modify or create activity plans for each group of children. Storage of Children’s Linens Children’s linens/cloth sleep mats are stored in each child’s cubby outside of the classroom. Ms. Greene ordered large Ziplock storage bags to place the linens/cloth sleep mats in, however, the bags were not large enough and she has ordered others. During today’s visit, linens/cloth sleep mats (similar to sleeping bags) were rolled and stored in cubbies. Two of the mats were observed touching and Ms. Greene stated that until the larger storage bags arrive, sleep mats could likely be rolled tighter to prevent touching. Sanitation rules can be located on the DCDEE website at https://ncchildcare.ncdhhs.gov, under the Provider tab at the top of the home screen,, selecting “Child Care Rules” from the drop down options, and finally by selecting “ Section 2800 Sanitation of Child Care Centers.” The sanitation rule regarding bedding and sleeping is: 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (a) In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. (b) Cribs and play pens used for sleeping shall be kept clean and equipped with a firm, tight-fitting mattress made of waterproof, washable material at least two inches thick. (c) Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. (d) Mats shall be of a waterproof, washable material at least two inches thick and shall be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. (f) Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. (g) Wash cloths, bibs, and burping cloths shall be laundered after each use. Each time a wash cloth, bib, or burping cloth is used, it shall be used for only one child. Other Sanitation Requirements The facility does not cook, prepare, or serve meals and a thermometer for checking food temperatures is not required. However, a thermometer should be on site to test water temperatures to ensure temperatures are in compliance with Sanitation Rule 15A NCAC 18A .2815(e): Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. The kitchen area and doors to laundry rooms should always be locked to prevent children from accessing these areas since water temperatures are higher and could be a burn hazard. You can visit https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm#ccs for more information on the Child Care Sanitation Program, and view presentations on new and/or re-adopted permanent child care rules related to sanitation. Staff Files and Staff and Training Worksheet Some portions of the staff files are maintained electronically, with no paper document on file. When staff files are reviewed the Consultant will need access to the paper documents on file, the separate medical information file and any electronic documents not contained in the paper files. We reviewed the items on the Staff and Training Worksheet today. The worksheet document can be saved as a pdf electronically and does not have to be in paper format. Saving the document allows you to maintain it as a working document that you can edit and add to as item requirements occur for each staff member (updating Criminal Background Check letter dates and any training dates, etc.). For Item # 7 “Date Change of Information submitted to CBC Unit Required within 5 days of hire” on the worksheet: Child Care Rule 10A NCAC 09 .2703(r) requires a “Change of Information Form” to be completed submitted by operators (administrators) for newly hired staff in order to link the staff member to your child care facility. This form is located in the Provider Documents and Forms section on the DCDEE website. Transportation If in the future, you wish to provide transportation, you must first create transportation policies and submit them to your Child Care Consultant for approval. The Consultant must approve any vehicles to be used prior to children being transported. If field trips are organized, and scheduled by the facility and parents are required to transport and chaperone children, these are considered off-premises activities. Applicable off premise activity requirements are found in Child Care Rules 10A NCAC .09 0604, .1003, .1005, .1723, and an off-premises permission form, found on the DCDEE website under Provider Documents and forms must be on file for each child in attendance. Playground Inspections At least one staff member must complete Playground Safety training within 6 months of licensure. Playground inspections need to be completed monthly and documented on the “Playground Inspection Checklist” located on the DCDEE website (https://ncchildcare.ncdhhs.gov), under the Provider tab, and finally “Provider Documents and Forms” tab. Once an individual is trained, this is the only person who can conduct and document the inspection on the form. However, all staff should monitor the playground(s) daily for any obvious visible hazards (broken equipment/fencing, bees, trash in the area, any evidence of vandalism) and report the concerns immediately to the director and/or assistant director. Any broken or damaged equipment and trash should be removed immediately. Ms. Greene stated today that Playground Safety training has been scheduled for early in November. BSAC Training The facility is licensed to provide care to children ages one to six years old. Any staff member (called Group Leader(s)) responsible for caring for school age children (children who have attended their first day of Kindergarten and older) and the Program Coordinator (responsible for ensuring the administration of school age care) need to complete the Basic School Age Training (BSAC) within three months of employment. Visit https://www.swcdcinc.org/basic-school-age-care-bsac-resources to register for training that is self-paced and can be completed on-line or you can contact Smart Start of Forsyth County at (336)725-6011 to request training. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. Please contact your local resource and referral agency (Smart Start of Forsyth County) to schedule this training. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan should be printed in full and will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Other Information of Interest Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialists found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, woodchips, and whole dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers. When using an approved sand substitute make sure that there is enough of the material to allow child to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include adding color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. A summary of today’s was reviewed with and provided to Ms. Greene. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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 .2201 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 46 Completed Date: 10/11/2023 Age: From 1 To 4 Total Minutes: 133 Time In: 10:10 AM Time Out: 12:23 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Provisional License, issued on September 14, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently three classrooms are in operation with children ages one, three, four and five years old. During today’s visit, one additional classroom was measured and approved for use. Two classrooms were monitored during today’s visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. The playground is located to the right of the facility, is surfaced by mulch and grass, and is enclosed by approved fencing exceeding four feet. A large stage/open platform provides shade. Meals and snacks are provided by the parents of enrolled children and the facility is not approved for cooking. Children eat all meals and snacks in the classrooms. Some children attend the facility for preschool from 9:00a.m. to 12:00p.m. and some children attend from 8:30a.m. to 5:00p.m. The facility does not provide transportation. During today’s visit children present were observed to be engaged in outdoor play, free choice activities, and personal care routines. The Corrective Action Plan Items from the Administrative Action issued to Salem Montessori School, Inc., were also monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Patrick Velde, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated September 7, 2023. The equivalent protection plan required by the building inspector remains in effect. Push paddles for corridor doors have been installed and work on corridor wall is scheduled to begin October 27, 2023, through November 3, 2023, while children are not in care. We reviewed that a new Building Inspection must be submitted to Ms. Childress once all the work is complete. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity Plans were not posted for all ages of children in care. GS 110-91(12); .0508(a) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). Only one page of the Administrative Action was posted. 10A NCAC 09 .2201(i)(1-4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 25, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. The type of Star Rated License issued to your program will result from the points earned in the Program Component (can include an overall score from the ERS Assessments, meeting enhanced ratios and/or space requirements), Staff Education, and a Quality Point. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Ms. Greene stated that the facility will not request an Environment Rating Scale Assessment. An application for the rated license assessment and a quality point form will be emailed to Ms. Greene following today’s visit. Technical Assistance and/or Consultation was provided during today’s visit on the following: Posting of Administrative Action During today’s visit the first page only of the Administrative Action was posted. We reviewed the cover letter that was included in the Administrative Action which stated “Immediately after this Notice of Administrative Action is received, you must post the administrative action, cover letter, and Corrective Action Plan, and the enclosed license in a location visible to parents and visitors near the entrance of the child care facility. This includes administrative actions that are appealed.” Activity Plans and Daily Schedules Activity plans were not posted for each group of children in care. Child Care rules 10A NCAC 09 .0508 and .0510 were reviewed during the visit. We also reviewed the five developmental domains in accordance with North Carolina Foundations for Early Learning and Development and Ms. Greene agreed that these domains also align with Montessori instruction. Ms. Greene explained and showed Ms. Childress during monitoring how one activity center continued and expanded into each of the other activity areas. All required activity areas by child care rules were represented (art and other creative play, children’s books, blocks and building, manipulatives, and family living/dramatic play) and materials and opportunities for music and rhythm, science and nature, and sand occur daily. We discussed adding in water play weekly, or daily and ways to incorporate water play. There are no documented or specific theme based activity plans for each group of children. Based upon Montessori curriculum and instruction, the sample activity plans on the DCDEE website under Provider Documents and Forms may not be helpful. Ms. Greene stated that she could modify or create activity plans for each group of children. Storage of Children’s Linens Children’s linens/cloth sleep mats are stored in each child’s cubby outside of the classroom. Ms. Greene ordered large Ziplock storage bags to place the linens/cloth sleep mats in, however, the bags were not large enough and she has ordered others. During today’s visit, linens/cloth sleep mats (similar to sleeping bags) were rolled and stored in cubbies. Two of the mats were observed touching and Ms. Greene stated that until the larger storage bags arrive, sleep mats could likely be rolled tighter to prevent touching. Sanitation rules can be located on the DCDEE website at https://ncchildcare.ncdhhs.gov, under the Provider tab at the top of the home screen,, selecting “Child Care Rules” from the drop down options, and finally by selecting “ Section 2800 Sanitation of Child Care Centers.” The sanitation rule regarding bedding and sleeping is: 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (a) In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. (b) Cribs and play pens used for sleeping shall be kept clean and equipped with a firm, tight-fitting mattress made of waterproof, washable material at least two inches thick. (c) Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. (d) Mats shall be of a waterproof, washable material at least two inches thick and shall be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. (f) Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. (g) Wash cloths, bibs, and burping cloths shall be laundered after each use. Each time a wash cloth, bib, or burping cloth is used, it shall be used for only one child. Other Sanitation Requirements The facility does not cook, prepare, or serve meals and a thermometer for checking food temperatures is not required. However, a thermometer should be on site to test water temperatures to ensure temperatures are in compliance with Sanitation Rule 15A NCAC 18A .2815(e): Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. The kitchen area and doors to laundry rooms should always be locked to prevent children from accessing these areas since water temperatures are higher and could be a burn hazard. You can visit https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm#ccs for more information on the Child Care Sanitation Program, and view presentations on new and/or re-adopted permanent child care rules related to sanitation. Staff Files and Staff and Training Worksheet Some portions of the staff files are maintained electronically, with no paper document on file. When staff files are reviewed the Consultant will need access to the paper documents on file, the separate medical information file and any electronic documents not contained in the paper files. We reviewed the items on the Staff and Training Worksheet today. The worksheet document can be saved as a pdf electronically and does not have to be in paper format. Saving the document allows you to maintain it as a working document that you can edit and add to as item requirements occur for each staff member (updating Criminal Background Check letter dates and any training dates, etc.). For Item # 7 “Date Change of Information submitted to CBC Unit Required within 5 days of hire” on the worksheet: Child Care Rule 10A NCAC 09 .2703(r) requires a “Change of Information Form” to be completed submitted by operators (administrators) for newly hired staff in order to link the staff member to your child care facility. This form is located in the Provider Documents and Forms section on the DCDEE website. Transportation If in the future, you wish to provide transportation, you must first create transportation policies and submit them to your Child Care Consultant for approval. The Consultant must approve any vehicles to be used prior to children being transported. If field trips are organized, and scheduled by the facility and parents are required to transport and chaperone children, these are considered off-premises activities. Applicable off premise activity requirements are found in Child Care Rules 10A NCAC .09 0604, .1003, .1005, .1723, and an off-premises permission form, found on the DCDEE website under Provider Documents and forms must be on file for each child in attendance. Playground Inspections At least one staff member must complete Playground Safety training within 6 months of licensure. Playground inspections need to be completed monthly and documented on the “Playground Inspection Checklist” located on the DCDEE website (https://ncchildcare.ncdhhs.gov), under the Provider tab, and finally “Provider Documents and Forms” tab. Once an individual is trained, this is the only person who can conduct and document the inspection on the form. However, all staff should monitor the playground(s) daily for any obvious visible hazards (broken equipment/fencing, bees, trash in the area, any evidence of vandalism) and report the concerns immediately to the director and/or assistant director. Any broken or damaged equipment and trash should be removed immediately. Ms. Greene stated today that Playground Safety training has been scheduled for early in November. BSAC Training The facility is licensed to provide care to children ages one to six years old. Any staff member (called Group Leader(s)) responsible for caring for school age children (children who have attended their first day of Kindergarten and older) and the Program Coordinator (responsible for ensuring the administration of school age care) need to complete the Basic School Age Training (BSAC) within three months of employment. Visit https://www.swcdcinc.org/basic-school-age-care-bsac-resources to register for training that is self-paced and can be completed on-line or you can contact Smart Start of Forsyth County at (336)725-6011 to request training. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. Please contact your local resource and referral agency (Smart Start of Forsyth County) to schedule this training. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan should be printed in full and will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Other Information of Interest Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialists found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, woodchips, and whole dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers. When using an approved sand substitute make sure that there is enough of the material to allow child to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include adding color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. A summary of today’s was reviewed with and provided to Ms. Greene. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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 .2204 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 46 Completed Date: 10/11/2023 Age: From 1 To 4 Total Minutes: 133 Time In: 10:10 AM Time Out: 12:23 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Provisional License, issued on September 14, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently three classrooms are in operation with children ages one, three, four and five years old. During today’s visit, one additional classroom was measured and approved for use. Two classrooms were monitored during today’s visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. The playground is located to the right of the facility, is surfaced by mulch and grass, and is enclosed by approved fencing exceeding four feet. A large stage/open platform provides shade. Meals and snacks are provided by the parents of enrolled children and the facility is not approved for cooking. Children eat all meals and snacks in the classrooms. Some children attend the facility for preschool from 9:00a.m. to 12:00p.m. and some children attend from 8:30a.m. to 5:00p.m. The facility does not provide transportation. During today’s visit children present were observed to be engaged in outdoor play, free choice activities, and personal care routines. The Corrective Action Plan Items from the Administrative Action issued to Salem Montessori School, Inc., were also monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Patrick Velde, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated September 7, 2023. The equivalent protection plan required by the building inspector remains in effect. Push paddles for corridor doors have been installed and work on corridor wall is scheduled to begin October 27, 2023, through November 3, 2023, while children are not in care. We reviewed that a new Building Inspection must be submitted to Ms. Childress once all the work is complete. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity Plans were not posted for all ages of children in care. GS 110-91(12); .0508(a) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). Only one page of the Administrative Action was posted. 10A NCAC 09 .2201(i)(1-4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 25, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. The type of Star Rated License issued to your program will result from the points earned in the Program Component (can include an overall score from the ERS Assessments, meeting enhanced ratios and/or space requirements), Staff Education, and a Quality Point. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Ms. Greene stated that the facility will not request an Environment Rating Scale Assessment. An application for the rated license assessment and a quality point form will be emailed to Ms. Greene following today’s visit. Technical Assistance and/or Consultation was provided during today’s visit on the following: Posting of Administrative Action During today’s visit the first page only of the Administrative Action was posted. We reviewed the cover letter that was included in the Administrative Action which stated “Immediately after this Notice of Administrative Action is received, you must post the administrative action, cover letter, and Corrective Action Plan, and the enclosed license in a location visible to parents and visitors near the entrance of the child care facility. This includes administrative actions that are appealed.” Activity Plans and Daily Schedules Activity plans were not posted for each group of children in care. Child Care rules 10A NCAC 09 .0508 and .0510 were reviewed during the visit. We also reviewed the five developmental domains in accordance with North Carolina Foundations for Early Learning and Development and Ms. Greene agreed that these domains also align with Montessori instruction. Ms. Greene explained and showed Ms. Childress during monitoring how one activity center continued and expanded into each of the other activity areas. All required activity areas by child care rules were represented (art and other creative play, children’s books, blocks and building, manipulatives, and family living/dramatic play) and materials and opportunities for music and rhythm, science and nature, and sand occur daily. We discussed adding in water play weekly, or daily and ways to incorporate water play. There are no documented or specific theme based activity plans for each group of children. Based upon Montessori curriculum and instruction, the sample activity plans on the DCDEE website under Provider Documents and Forms may not be helpful. Ms. Greene stated that she could modify or create activity plans for each group of children. Storage of Children’s Linens Children’s linens/cloth sleep mats are stored in each child’s cubby outside of the classroom. Ms. Greene ordered large Ziplock storage bags to place the linens/cloth sleep mats in, however, the bags were not large enough and she has ordered others. During today’s visit, linens/cloth sleep mats (similar to sleeping bags) were rolled and stored in cubbies. Two of the mats were observed touching and Ms. Greene stated that until the larger storage bags arrive, sleep mats could likely be rolled tighter to prevent touching. Sanitation rules can be located on the DCDEE website at https://ncchildcare.ncdhhs.gov, under the Provider tab at the top of the home screen,, selecting “Child Care Rules” from the drop down options, and finally by selecting “ Section 2800 Sanitation of Child Care Centers.” The sanitation rule regarding bedding and sleeping is: 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (a) In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. (b) Cribs and play pens used for sleeping shall be kept clean and equipped with a firm, tight-fitting mattress made of waterproof, washable material at least two inches thick. (c) Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. (d) Mats shall be of a waterproof, washable material at least two inches thick and shall be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. (f) Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. (g) Wash cloths, bibs, and burping cloths shall be laundered after each use. Each time a wash cloth, bib, or burping cloth is used, it shall be used for only one child. Other Sanitation Requirements The facility does not cook, prepare, or serve meals and a thermometer for checking food temperatures is not required. However, a thermometer should be on site to test water temperatures to ensure temperatures are in compliance with Sanitation Rule 15A NCAC 18A .2815(e): Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. The kitchen area and doors to laundry rooms should always be locked to prevent children from accessing these areas since water temperatures are higher and could be a burn hazard. You can visit https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm#ccs for more information on the Child Care Sanitation Program, and view presentations on new and/or re-adopted permanent child care rules related to sanitation. Staff Files and Staff and Training Worksheet Some portions of the staff files are maintained electronically, with no paper document on file. When staff files are reviewed the Consultant will need access to the paper documents on file, the separate medical information file and any electronic documents not contained in the paper files. We reviewed the items on the Staff and Training Worksheet today. The worksheet document can be saved as a pdf electronically and does not have to be in paper format. Saving the document allows you to maintain it as a working document that you can edit and add to as item requirements occur for each staff member (updating Criminal Background Check letter dates and any training dates, etc.). For Item # 7 “Date Change of Information submitted to CBC Unit Required within 5 days of hire” on the worksheet: Child Care Rule 10A NCAC 09 .2703(r) requires a “Change of Information Form” to be completed submitted by operators (administrators) for newly hired staff in order to link the staff member to your child care facility. This form is located in the Provider Documents and Forms section on the DCDEE website. Transportation If in the future, you wish to provide transportation, you must first create transportation policies and submit them to your Child Care Consultant for approval. The Consultant must approve any vehicles to be used prior to children being transported. If field trips are organized, and scheduled by the facility and parents are required to transport and chaperone children, these are considered off-premises activities. Applicable off premise activity requirements are found in Child Care Rules 10A NCAC .09 0604, .1003, .1005, .1723, and an off-premises permission form, found on the DCDEE website under Provider Documents and forms must be on file for each child in attendance. Playground Inspections At least one staff member must complete Playground Safety training within 6 months of licensure. Playground inspections need to be completed monthly and documented on the “Playground Inspection Checklist” located on the DCDEE website (https://ncchildcare.ncdhhs.gov), under the Provider tab, and finally “Provider Documents and Forms” tab. Once an individual is trained, this is the only person who can conduct and document the inspection on the form. However, all staff should monitor the playground(s) daily for any obvious visible hazards (broken equipment/fencing, bees, trash in the area, any evidence of vandalism) and report the concerns immediately to the director and/or assistant director. Any broken or damaged equipment and trash should be removed immediately. Ms. Greene stated today that Playground Safety training has been scheduled for early in November. BSAC Training The facility is licensed to provide care to children ages one to six years old. Any staff member (called Group Leader(s)) responsible for caring for school age children (children who have attended their first day of Kindergarten and older) and the Program Coordinator (responsible for ensuring the administration of school age care) need to complete the Basic School Age Training (BSAC) within three months of employment. Visit https://www.swcdcinc.org/basic-school-age-care-bsac-resources to register for training that is self-paced and can be completed on-line or you can contact Smart Start of Forsyth County at (336)725-6011 to request training. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. Please contact your local resource and referral agency (Smart Start of Forsyth County) to schedule this training. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan should be printed in full and will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Other Information of Interest Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialists found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, woodchips, and whole dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers. When using an approved sand substitute make sure that there is enough of the material to allow child to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include adding color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. A summary of today’s was reviewed with and provided to Ms. Greene. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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 .2703 · Violation

Name of Operation: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 46 Completed Date: 10/11/2023 Age: From 1 To 4 Total Minutes: 133 Time In: 10:10 AM Time Out: 12:23 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Provisional License, issued on September 14, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently three classrooms are in operation with children ages one, three, four and five years old. During today’s visit, one additional classroom was measured and approved for use. Two classrooms were monitored during today’s visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. The playground is located to the right of the facility, is surfaced by mulch and grass, and is enclosed by approved fencing exceeding four feet. A large stage/open platform provides shade. Meals and snacks are provided by the parents of enrolled children and the facility is not approved for cooking. Children eat all meals and snacks in the classrooms. Some children attend the facility for preschool from 9:00a.m. to 12:00p.m. and some children attend from 8:30a.m. to 5:00p.m. The facility does not provide transportation. During today’s visit children present were observed to be engaged in outdoor play, free choice activities, and personal care routines. The Corrective Action Plan Items from the Administrative Action issued to Salem Montessori School, Inc., were also monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Patrick Velde, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated September 7, 2023. The equivalent protection plan required by the building inspector remains in effect. Push paddles for corridor doors have been installed and work on corridor wall is scheduled to begin October 27, 2023, through November 3, 2023, while children are not in care. We reviewed that a new Building Inspection must be submitted to Ms. Childress once all the work is complete. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity Plans were not posted for all ages of children in care. GS 110-91(12); .0508(a) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). Only one page of the Administrative Action was posted. 10A NCAC 09 .2201(i)(1-4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 25, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. The type of Star Rated License issued to your program will result from the points earned in the Program Component (can include an overall score from the ERS Assessments, meeting enhanced ratios and/or space requirements), Staff Education, and a Quality Point. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Ms. Greene stated that the facility will not request an Environment Rating Scale Assessment. An application for the rated license assessment and a quality point form will be emailed to Ms. Greene following today’s visit. Technical Assistance and/or Consultation was provided during today’s visit on the following: Posting of Administrative Action During today’s visit the first page only of the Administrative Action was posted. We reviewed the cover letter that was included in the Administrative Action which stated “Immediately after this Notice of Administrative Action is received, you must post the administrative action, cover letter, and Corrective Action Plan, and the enclosed license in a location visible to parents and visitors near the entrance of the child care facility. This includes administrative actions that are appealed.” Activity Plans and Daily Schedules Activity plans were not posted for each group of children in care. Child Care rules 10A NCAC 09 .0508 and .0510 were reviewed during the visit. We also reviewed the five developmental domains in accordance with North Carolina Foundations for Early Learning and Development and Ms. Greene agreed that these domains also align with Montessori instruction. Ms. Greene explained and showed Ms. Childress during monitoring how one activity center continued and expanded into each of the other activity areas. All required activity areas by child care rules were represented (art and other creative play, children’s books, blocks and building, manipulatives, and family living/dramatic play) and materials and opportunities for music and rhythm, science and nature, and sand occur daily. We discussed adding in water play weekly, or daily and ways to incorporate water play. There are no documented or specific theme based activity plans for each group of children. Based upon Montessori curriculum and instruction, the sample activity plans on the DCDEE website under Provider Documents and Forms may not be helpful. Ms. Greene stated that she could modify or create activity plans for each group of children. Storage of Children’s Linens Children’s linens/cloth sleep mats are stored in each child’s cubby outside of the classroom. Ms. Greene ordered large Ziplock storage bags to place the linens/cloth sleep mats in, however, the bags were not large enough and she has ordered others. During today’s visit, linens/cloth sleep mats (similar to sleeping bags) were rolled and stored in cubbies. Two of the mats were observed touching and Ms. Greene stated that until the larger storage bags arrive, sleep mats could likely be rolled tighter to prevent touching. Sanitation rules can be located on the DCDEE website at https://ncchildcare.ncdhhs.gov, under the Provider tab at the top of the home screen,, selecting “Child Care Rules” from the drop down options, and finally by selecting “ Section 2800 Sanitation of Child Care Centers.” The sanitation rule regarding bedding and sleeping is: 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (a) In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. (b) Cribs and play pens used for sleeping shall be kept clean and equipped with a firm, tight-fitting mattress made of waterproof, washable material at least two inches thick. (c) Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. (d) Mats shall be of a waterproof, washable material at least two inches thick and shall be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. (f) Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. (g) Wash cloths, bibs, and burping cloths shall be laundered after each use. Each time a wash cloth, bib, or burping cloth is used, it shall be used for only one child. Other Sanitation Requirements The facility does not cook, prepare, or serve meals and a thermometer for checking food temperatures is not required. However, a thermometer should be on site to test water temperatures to ensure temperatures are in compliance with Sanitation Rule 15A NCAC 18A .2815(e): Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. The kitchen area and doors to laundry rooms should always be locked to prevent children from accessing these areas since water temperatures are higher and could be a burn hazard. You can visit https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm#ccs for more information on the Child Care Sanitation Program, and view presentations on new and/or re-adopted permanent child care rules related to sanitation. Staff Files and Staff and Training Worksheet Some portions of the staff files are maintained electronically, with no paper document on file. When staff files are reviewed the Consultant will need access to the paper documents on file, the separate medical information file and any electronic documents not contained in the paper files. We reviewed the items on the Staff and Training Worksheet today. The worksheet document can be saved as a pdf electronically and does not have to be in paper format. Saving the document allows you to maintain it as a working document that you can edit and add to as item requirements occur for each staff member (updating Criminal Background Check letter dates and any training dates, etc.). For Item # 7 “Date Change of Information submitted to CBC Unit Required within 5 days of hire” on the worksheet: Child Care Rule 10A NCAC 09 .2703(r) requires a “Change of Information Form” to be completed submitted by operators (administrators) for newly hired staff in order to link the staff member to your child care facility. This form is located in the Provider Documents and Forms section on the DCDEE website. Transportation If in the future, you wish to provide transportation, you must first create transportation policies and submit them to your Child Care Consultant for approval. The Consultant must approve any vehicles to be used prior to children being transported. If field trips are organized, and scheduled by the facility and parents are required to transport and chaperone children, these are considered off-premises activities. Applicable off premise activity requirements are found in Child Care Rules 10A NCAC .09 0604, .1003, .1005, .1723, and an off-premises permission form, found on the DCDEE website under Provider Documents and forms must be on file for each child in attendance. Playground Inspections At least one staff member must complete Playground Safety training within 6 months of licensure. Playground inspections need to be completed monthly and documented on the “Playground Inspection Checklist” located on the DCDEE website (https://ncchildcare.ncdhhs.gov), under the Provider tab, and finally “Provider Documents and Forms” tab. Once an individual is trained, this is the only person who can conduct and document the inspection on the form. However, all staff should monitor the playground(s) daily for any obvious visible hazards (broken equipment/fencing, bees, trash in the area, any evidence of vandalism) and report the concerns immediately to the director and/or assistant director. Any broken or damaged equipment and trash should be removed immediately. Ms. Greene stated today that Playground Safety training has been scheduled for early in November. BSAC Training The facility is licensed to provide care to children ages one to six years old. Any staff member (called Group Leader(s)) responsible for caring for school age children (children who have attended their first day of Kindergarten and older) and the Program Coordinator (responsible for ensuring the administration of school age care) need to complete the Basic School Age Training (BSAC) within three months of employment. Visit https://www.swcdcinc.org/basic-school-age-care-bsac-resources to register for training that is self-paced and can be completed on-line or you can contact Smart Start of Forsyth County at (336)725-6011 to request training. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. Please contact your local resource and referral agency (Smart Start of Forsyth County) to schedule this training. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan should be printed in full and will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Other Information of Interest Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialists found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, woodchips, and whole dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers. When using an approved sand substitute make sure that there is enough of the material to allow child to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include adding color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. A summary of today’s was reviewed with and provided to Ms. Greene. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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: Salem Montessori School Facility ID: 34001402 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 46 Completed Date: 10/11/2023 Age: From 1 To 4 Total Minutes: 133 Time In: 10:10 AM Time Out: 12:23 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time period visit. The visit was conducted with Catherine Greene, Associate Head of School/Director of SMS Preschool and Diversity, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Provisional License, issued on September 14, 2023, to operate first shift with a capacity of 315. The facility is licensed to provide care to children ages one to six-years-old and is approved to operate nine classrooms within the building. Restrictions are daytime care only. The licensed program operates within a private school. The Secretary of State website was checked today, and the owner, Salem Montessori School, Inc., is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently three classrooms are in operation with children ages one, three, four and five years old. During today’s visit, one additional classroom was measured and approved for use. Two classrooms were monitored during today’s visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. The playground is located to the right of the facility, is surfaced by mulch and grass, and is enclosed by approved fencing exceeding four feet. A large stage/open platform provides shade. Meals and snacks are provided by the parents of enrolled children and the facility is not approved for cooking. Children eat all meals and snacks in the classrooms. Some children attend the facility for preschool from 9:00a.m. to 12:00p.m. and some children attend from 8:30a.m. to 5:00p.m. The facility does not provide transportation. During today’s visit children present were observed to be engaged in outdoor play, free choice activities, and personal care routines. The Corrective Action Plan Items from the Administrative Action issued to Salem Montessori School, Inc., were also monitored during today’s visit as follows: 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .2204(2) regarding a time period for correcting a violation of the building, fire, or sanitation requirements. 2.The facility must receive an approved building inspection within the timeframe of the Provisional License. Until an approved building inspection can be obtained, Patrick Velde, administrator, shall immediately begin following plans for the equivalent protection for the safety of children documented by the building inspector on the building inspection form dated September 7, 2023. The equivalent protection plan required by the building inspector remains in effect. Push paddles for corridor doors have been installed and work on corridor wall is scheduled to begin October 27, 2023, through November 3, 2023, while children are not in care. We reviewed that a new Building Inspection must be submitted to Ms. Childress once all the work is complete. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Activity Plans were not posted for all ages of children in care. GS 110-91(12); .0508(a) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19). Only one page of the Administrative Action was posted. 10A NCAC 09 .2201(i)(1-4) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by October 25, 2023. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected and how you will prevent the violation from reoccurring 7. Signature of the person submitting the documentation Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. The type of Star Rated License issued to your program will result from the points earned in the Program Component (can include an overall score from the ERS Assessments, meeting enhanced ratios and/or space requirements), Staff Education, and a Quality Point. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Ms. Greene stated that the facility will not request an Environment Rating Scale Assessment. An application for the rated license assessment and a quality point form will be emailed to Ms. Greene following today’s visit. Technical Assistance and/or Consultation was provided during today’s visit on the following: Posting of Administrative Action During today’s visit the first page only of the Administrative Action was posted. We reviewed the cover letter that was included in the Administrative Action which stated “Immediately after this Notice of Administrative Action is received, you must post the administrative action, cover letter, and Corrective Action Plan, and the enclosed license in a location visible to parents and visitors near the entrance of the child care facility. This includes administrative actions that are appealed.” Activity Plans and Daily Schedules Activity plans were not posted for each group of children in care. Child Care rules 10A NCAC 09 .0508 and .0510 were reviewed during the visit. We also reviewed the five developmental domains in accordance with North Carolina Foundations for Early Learning and Development and Ms. Greene agreed that these domains also align with Montessori instruction. Ms. Greene explained and showed Ms. Childress during monitoring how one activity center continued and expanded into each of the other activity areas. All required activity areas by child care rules were represented (art and other creative play, children’s books, blocks and building, manipulatives, and family living/dramatic play) and materials and opportunities for music and rhythm, science and nature, and sand occur daily. We discussed adding in water play weekly, or daily and ways to incorporate water play. There are no documented or specific theme based activity plans for each group of children. Based upon Montessori curriculum and instruction, the sample activity plans on the DCDEE website under Provider Documents and Forms may not be helpful. Ms. Greene stated that she could modify or create activity plans for each group of children. Storage of Children’s Linens Children’s linens/cloth sleep mats are stored in each child’s cubby outside of the classroom. Ms. Greene ordered large Ziplock storage bags to place the linens/cloth sleep mats in, however, the bags were not large enough and she has ordered others. During today’s visit, linens/cloth sleep mats (similar to sleeping bags) were rolled and stored in cubbies. Two of the mats were observed touching and Ms. Greene stated that until the larger storage bags arrive, sleep mats could likely be rolled tighter to prevent touching. Sanitation rules can be located on the DCDEE website at https://ncchildcare.ncdhhs.gov, under the Provider tab at the top of the home screen,, selecting “Child Care Rules” from the drop down options, and finally by selecting “ Section 2800 Sanitation of Child Care Centers.” The sanitation rule regarding bedding and sleeping is: 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (a) In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. (b) Cribs and play pens used for sleeping shall be kept clean and equipped with a firm, tight-fitting mattress made of waterproof, washable material at least two inches thick. (c) Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. (d) Mats shall be of a waterproof, washable material at least two inches thick and shall be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. (e) When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. (f) Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. (g) Wash cloths, bibs, and burping cloths shall be laundered after each use. Each time a wash cloth, bib, or burping cloth is used, it shall be used for only one child. Other Sanitation Requirements The facility does not cook, prepare, or serve meals and a thermometer for checking food temperatures is not required. However, a thermometer should be on site to test water temperatures to ensure temperatures are in compliance with Sanitation Rule 15A NCAC 18A .2815(e): Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. The kitchen area and doors to laundry rooms should always be locked to prevent children from accessing these areas since water temperatures are higher and could be a burn hazard. You can visit https://ehs.dph.ncdhhs.gov/hhccehb/cehu/index.htm#ccs for more information on the Child Care Sanitation Program, and view presentations on new and/or re-adopted permanent child care rules related to sanitation. Staff Files and Staff and Training Worksheet Some portions of the staff files are maintained electronically, with no paper document on file. When staff files are reviewed the Consultant will need access to the paper documents on file, the separate medical information file and any electronic documents not contained in the paper files. We reviewed the items on the Staff and Training Worksheet today. The worksheet document can be saved as a pdf electronically and does not have to be in paper format. Saving the document allows you to maintain it as a working document that you can edit and add to as item requirements occur for each staff member (updating Criminal Background Check letter dates and any training dates, etc.). For Item # 7 “Date Change of Information submitted to CBC Unit Required within 5 days of hire” on the worksheet: Child Care Rule 10A NCAC 09 .2703(r) requires a “Change of Information Form” to be completed submitted by operators (administrators) for newly hired staff in order to link the staff member to your child care facility. This form is located in the Provider Documents and Forms section on the DCDEE website. Transportation If in the future, you wish to provide transportation, you must first create transportation policies and submit them to your Child Care Consultant for approval. The Consultant must approve any vehicles to be used prior to children being transported. If field trips are organized, and scheduled by the facility and parents are required to transport and chaperone children, these are considered off-premises activities. Applicable off premise activity requirements are found in Child Care Rules 10A NCAC .09 0604, .1003, .1005, .1723, and an off-premises permission form, found on the DCDEE website under Provider Documents and forms must be on file for each child in attendance. Playground Inspections At least one staff member must complete Playground Safety training within 6 months of licensure. Playground inspections need to be completed monthly and documented on the “Playground Inspection Checklist” located on the DCDEE website (https://ncchildcare.ncdhhs.gov), under the Provider tab, and finally “Provider Documents and Forms” tab. Once an individual is trained, this is the only person who can conduct and document the inspection on the form. However, all staff should monitor the playground(s) daily for any obvious visible hazards (broken equipment/fencing, bees, trash in the area, any evidence of vandalism) and report the concerns immediately to the director and/or assistant director. Any broken or damaged equipment and trash should be removed immediately. Ms. Greene stated today that Playground Safety training has been scheduled for early in November. BSAC Training The facility is licensed to provide care to children ages one to six years old. Any staff member (called Group Leader(s)) responsible for caring for school age children (children who have attended their first day of Kindergarten and older) and the Program Coordinator (responsible for ensuring the administration of school age care) need to complete the Basic School Age Training (BSAC) within three months of employment. Visit https://www.swcdcinc.org/basic-school-age-care-bsac-resources to register for training that is self-paced and can be completed on-line or you can contact Smart Start of Forsyth County at (336)725-6011 to request training. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response in Child Care training must be completed by at least one staff member (usually the administrator) within one year of the effective date of the initial license. Maintain documentation of this training. Once the EPR training is completed, you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. Please contact your local resource and referral agency (Smart Start of Forsyth County) to schedule this training. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan should be printed in full and will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Other Information of Interest Sensory Play The use of shaving cream by children in child care centers is not recommended under any circumstances. Research completed by regional children’s environmental health specialists found that specifically Barbasol Shaving Cream, could cause nausea, vomiting and diarrhea from ingestion, minor eye irritation from eye contact, and irritation from prolonged skin contact. Pfizer Consumer Health Care Division, maker of Barbasol Shaving Cream, indicated that shaving cream was not formulated or tested for use in child care settings and therefore could not recommend it for use. This research and statement position by environmental health applies to any brand of shaving cream. We discussed other alternatives such as whipped cream and googling taste safe sensory foam that you can make with only a few ingredients. There are various materials that meet requirements in place of sand play, which are often seen in sensory bins filled with items such as rice, lentils, birdseed, cornmeal, wet sand, sterilized potting soil, woodchips, and whole dried corn kernels. It is important not to use any items that could be considered choking hazards for preschoolers. When using an approved sand substitute make sure that there is enough of the material to allow child to dig, scoop, pour and fill and that there are accessory items such as cups and spoons. The “measuring” types of toys can be alternated with items such as cars, trucks, people, animals, tools for making designs in sand, etcetera, but if using in rotation the measuring types of toys must be available to be monitored. Some suggestions for water play include adding color and objects to the water with the same types of accessory items. Water play can also include bathing dolls, dishes for housekeeping, or trucks and cars at a car wash. Be creative, but also allow children opportunities to gain experience and explore with sand and water. A summary of today’s was reviewed with and provided to Ms. Greene. If you have any questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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